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Intrastromal intraocular lens during cataract surgery

Poster Details

First Author: I.Henares SPAIN

Co Author(s):    N. Sáenz Madrazo   M. Folgado Jiménez   I. Bearan María   P. Fernández Avellaneda   M. Ramos Barrios  

Abstract Details


Cataract surgery was performed in a 67-year-old patient. During lens injection, intrastromal intraocular lens was observed: how could it happen and how to solve it.


Basurto Universitary Hospital, Basque Country, Spain


An experienced surgeon performed a cataract surgery with uneventful phacoemulsification. When the IOL was introduced bevel down through the incision, it was noticed that it was actually being placed intrastromally about 7 mm from limbus. In view of the impossibility of taking it out, it was decided to push it down into the bag breaking the corneal inner layers. A few days postop a DSAEK was scheduled and performed to replace the Descemet and endothelium.


After four months follow up, the donor cornea is correctly reattached on the right eye and the best corrected visual acuity is better than preoperatively.


Iatrogenic corneal dissection as a complication of an IOL injection is an atypical and infrequent complication in cataract surgery. DSAEK surgery was done with successful surgical management FINANCIAL INTEREST: NONE

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