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A nurse reported that during the presbyopic lens exchange surgery, the lens did not unfold well.No damage was observed on the lens during handling.The haptic was moderately folded in a different position, which was not uncommon.After implantation and unfolding of the iol, due to the final positioning, the surgeon noted that the anterior haptic to detach from its original location and the haptic adhered to the optic.Hence the lens was explanted during the same procedure and the corneal suture was performed.This caused the surgery to prolong and increased the endothelial stress.The corneal suture led to surgically induced astigmatism.The procedure was completed on the same day.
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