A surprise error in a phakic IOL

Abstract

Phakic intraocular lenses (IOLs) have been in clinical use for two and half decades and are an accepted option for extreme ametropia. Incorrect power correction postsurgery could be due to multiple reasons such as improper biometry readings, incorrect IOL placement, or displacement. A manufacturer error is the least expected and unwanted. Herein, a case where an error in labeling from a manufacturer resulted in not only a scare for the operating surgeon but also an equally harassed patient is presented. This case highlights that any checklist followed by the operating surgeons also needs to be implemented at the manufacturer’s end.