Key Lessons from Successful Management of Inadvertent Intra-lenticular Bevacizumab Injection

Intravitreal injections are a common therapeutic intervention practiced worldwide. However, this procedure carries a risk of injury to the lens, potentially leading to the development of an iatrogenic cataract. This case report details a patient who sustained posterior capsular injury during intravi...

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Main Authors: Praneetha Sekar, Arokiam John Bosco, R Kavitha Josephine, Mudaliar Ashwini Elango
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:TNOA Journal of Ophthalmic Science and Research
Subjects:
Online Access:https://journals.lww.com/10.4103/tjosr.tjosr_131_24
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author Praneetha Sekar
Arokiam John Bosco
R Kavitha Josephine
Mudaliar Ashwini Elango
author_facet Praneetha Sekar
Arokiam John Bosco
R Kavitha Josephine
Mudaliar Ashwini Elango
author_sort Praneetha Sekar
collection DOAJ
description Intravitreal injections are a common therapeutic intervention practiced worldwide. However, this procedure carries a risk of injury to the lens, potentially leading to the development of an iatrogenic cataract. This case report details a patient who sustained posterior capsular injury during intravitreal injection of bevacizumab, resulting in an iatrogenic cataract. This report discusses the management and restoration of vision, highlighting the role of anterior segment optical coherence tomography (AS-OCT) in assessing the injury and guiding surgical intervention. Since the primary injury involved posterior capsule, surgical approach was comparable to that used in managing a posterior polar cataract.
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institution DOAJ
issn 2589-4528
2589-4536
language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series TNOA Journal of Ophthalmic Science and Research
spelling doaj-art-aafa6bb2013a49cf8c3b188c9afd8c162025-08-20T03:09:12ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362025-01-01631949610.4103/tjosr.tjosr_131_24Key Lessons from Successful Management of Inadvertent Intra-lenticular Bevacizumab InjectionPraneetha SekarArokiam John BoscoR Kavitha JosephineMudaliar Ashwini ElangoIntravitreal injections are a common therapeutic intervention practiced worldwide. However, this procedure carries a risk of injury to the lens, potentially leading to the development of an iatrogenic cataract. This case report details a patient who sustained posterior capsular injury during intravitreal injection of bevacizumab, resulting in an iatrogenic cataract. This report discusses the management and restoration of vision, highlighting the role of anterior segment optical coherence tomography (AS-OCT) in assessing the injury and guiding surgical intervention. Since the primary injury involved posterior capsule, surgical approach was comparable to that used in managing a posterior polar cataract.https://journals.lww.com/10.4103/tjosr.tjosr_131_24as-octintravitreallens injuryposterior capsular defect
spellingShingle Praneetha Sekar
Arokiam John Bosco
R Kavitha Josephine
Mudaliar Ashwini Elango
Key Lessons from Successful Management of Inadvertent Intra-lenticular Bevacizumab Injection
TNOA Journal of Ophthalmic Science and Research
as-oct
intravitreal
lens injury
posterior capsular defect
title Key Lessons from Successful Management of Inadvertent Intra-lenticular Bevacizumab Injection
title_full Key Lessons from Successful Management of Inadvertent Intra-lenticular Bevacizumab Injection
title_fullStr Key Lessons from Successful Management of Inadvertent Intra-lenticular Bevacizumab Injection
title_full_unstemmed Key Lessons from Successful Management of Inadvertent Intra-lenticular Bevacizumab Injection
title_short Key Lessons from Successful Management of Inadvertent Intra-lenticular Bevacizumab Injection
title_sort key lessons from successful management of inadvertent intra lenticular bevacizumab injection
topic as-oct
intravitreal
lens injury
posterior capsular defect
url https://journals.lww.com/10.4103/tjosr.tjosr_131_24
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AT arokiamjohnbosco keylessonsfromsuccessfulmanagementofinadvertentintralenticularbevacizumabinjection
AT rkavithajosephine keylessonsfromsuccessfulmanagementofinadvertentintralenticularbevacizumabinjection
AT mudaliarashwinielango keylessonsfromsuccessfulmanagementofinadvertentintralenticularbevacizumabinjection