case_images: PMC11724626_01
case_images: Slit-lamp photograph of the biomicroscopy of the right eye showing intra-lens dexamethasone implant - diffuse illumination (a) and fundus retro-illumination (b).
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case_images: OD vision loss (from 4/10 to 2/10), which occurred a few days after the injection. On the slit-lamp observation, under pharmacological mydriasis, the implant was found in the right crystalline lens, in the pupillary area (Figure 1a and b).
case_images: (a) - Right eye macular OCT before the intravitreal implant injection. (b) - Right eye macular OCT four months after the intravitreal implant injection (before surgery).
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case_images: The retinal OCT showed an improvement of macular edema (Figure 2a and b) in the OD, but not in the OS.
case_images: (a-c) - AS-OCT exam reveals the exact location of the implant and the non-integrity of the posterior capsule.
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case_images: An AS-OCT (Spectralis Heidelberg Engineering) was performed to better understand the location of the implant, its entry point and the non-integrity of the posterior capsule (Figure 3a-c).   
case_images: Images from the surgery - (a) - The implant in the crystalline lens; (b) - Unsuccessful attempt to remove the implant en bloc; (c) - Posterior capsule rupture.
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case_images: One week later, a phacoemulsification surgery with a three-piece hydrophobic intraocular lens (Alcon AcrySof  MA60AC) implantation in the sulcus, associated with anterior vitrectomy was completed (Figure 4).