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Journal of Ophthalmology & Visual Neuroscience

JOVN

Aabstract

Case Report

Unexpected Intrastromal Insertion of Square-Edged Intraocular Lens during Routine Cataract Surgery

Braden D Meiklejohn and Stephen O'Hagan

Correspondence Address :

Braden Meiklejohn, MBBS
Department of Ophthalmology
Gold Coast University Hospital
1 Hospital Boulevard, Southport, QLD, 4215, Australia
Tel:+61 7 1300 744 284
Email: braden_meiklejohn@hotmail.com

Received on: October 12, 2018, Accepted on: December 04, 2018, Published on: December 10, 2018

Citation: Braden D Meiklejohn, Stephen O'Hagan (2018). Unexpected Intrastromal Insertion of Square-Edged Intraocular Lens during Routine Cataract Surgery

Copyright: 2018 Braden D Meiklejohn et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Purpose: This case highlighted an important although uncommon complication of wound assisted intraocular lens insertion whereby the corneal lamellae were dissected and the intraocular lens is injected into the corneal stroma.
Observations: Wound construction, cartridge design, square-edged lens design and wound assisted delivery of the intraocular lens appeared to be contributory factors to this complication. There were minimal long-term sequelae in this case. There have been three similar cases reported in the literature previously.
Conclusions and importance: Corneal implantation of intraocular lenses is a potential complication of cataract surgery with contributing factors from wound construction, lens edge and cartridge design as well as wound-assisted delivery. Awareness of this complication may reduce the incidence of future cases.

Keywords: Intraocular lens, Insertion, Intrastromal, Intracorneal,Phacoemulsification, Complication

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