This depot steroid device was supposed to be injected into the vitreous cavity, but it ended up inside the crystalline lens. This iatrogenic lenticular damage is going to require cataract surgery to resolve the problem. For this case, my preference would be to perform a capsulorhexis and then remove the steroid implant by bringing it up into the anterior chamber and then extracting it with forceps via the main incision. Then I would place a three-piece IOL with the haptics in the sulcus and the optic captured through the capsulorhexis. However, this was not the approach used by the anonymous surgeon in this case. I was pleasantly surprised that the steroid implant could be removed in such an unusual manner… you must watch the video to see.
