PMC8138190_01
Corneal intrastromal IOL implantation with the wound-assisted technique during phacoemulsification and clinical course after corneal intrastromal IOL implantation with AS-OCT. a Intraoperative photograph. Corneal fold due to the IOL is seen. b AS-OCT 30 min postoperatively. Intercalation of the deep corneal stroma is observed. c AS-OCT 1 month postoperatively. Deep corneal stromal opacity is observed. d A slit-lamp photograph taken 2 months postoperatively. Corneal opacity is reduced. IOL, intraocular lens; AS-OCT, anterior segment optical coherence tomography.
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We then discovered the IOL had been accidentally implanted into the corneal stroma (Fig. 1a; online suppl. Tomey Corporation, Nagoya, Japan) imaging of the corneal stroma, where the IOL had been accidentally inserted (Fig. 1b). Then, 10 h postoperatively, the patient complained of eye pain, and severe corneal edema with an increased IOP of 60 mm Hg was noted. Four days postoperatively, corneal opacity persisted, but AS-OCT showed some improvement of the edema and interlayer separation (Fig. 1c). BCVA improved to logMAR 0 (20/20) at 4 months postoperatively with minimal corneal opacity (Fig. 1d).