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A government agency reported that during cataract surgery with an intraocular lens (iol) implant procedure, on day one, the patient with an existing condition of senile cataract was implanted with an intraocular lens after the cataract was extracted using phacoemulsification during the operation.The physician checked that the external package of the intraocular lens and the preloaded handle were intact.After opening, sodium hyaluronate gel was injected into the intraocular lens.The intraocular lens was implanted into the capsule through the main incision in the left eye of the patient.Because the intraocular lens loop stabilized the intraocular lens in the capsule, while carefully adjusting the position of the intraocular lens, it was found that one side of the intraocular lens loop was broken at the implant head.The intraocular lens implantation and fixation were checked.The injector and the broken lens loop were slowly removed.Sodium hyaluronate gel was injected into the anterior chamber, the main incision and auxiliary incision were sealed with water, and tobramycin and dexamethasone eye ointment were applied to the conjunctival sac for single-eye coverage.The surgery was completed.After close observation of the position of the artificial lens after surgery, it was found that the lens position was offset and showed large astigmatism.On day six after surgery, another surgery was performed.The original incision needed to be enlarged to remove the implanted artificial lens and replace it with a new one.The rupture of the artificial lens loop in this incident led to a second surgery, which increased the difficulty of the procedure by enlarging the original incision and resulted in one suture at the corneal edge.There was a risk of damaging the posterior capsule of the eye, causing poor vision, refractive errors, etc., due to the wear and tear of intraocular tissues caused by the removal of fractured artificial intraocular lenses, prolonging the recovery time after surgery.
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