Abstract
Purpose: To report a case of a misdirected laser beam delivery on the cornea instead of cataract fragmentation during femtosecond laser–assisted cataract surgery (FLACS). Methods: An 88-year-old man underwent FLACS. Intraoperatively, inadvertent movement led to loss of suction wherein the supposed laser beam cataract fragmentation was shifted on the corneal side. One day postoperatively, there was a formed chamber and clear central cornea with no signs of edema in the fragmented part. Anterior segment optical coherence tomography showed various cuts in the endothelium extending to the anterior one-third of the cornea. Slit-lamp photographs documented the extent of circular and linear cuts in the paracentral and limbal 3-o'clock position location in the cornea. Conclusions: It is important that cataract surgeons be aware of this potential for corneal injury so that proper intraoperative management can be instituted suitably. [ Journal of Refractive Surgery Case Reports . 2023;3(2):e19–e23.]
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