Decades ago, foldable IOLs allowed us to advance cataract surgery to smaller incisions that were about 3 mm to 4 mm in width. An IOL with a 6-mm optic could be folded in half and then inserted with forceps.
We then moved to injectable IOLs in which the optic could be rolled and placed into a cartridge that would allow incisions under 3 mm wide. When inserting these IOLs into the injector cartridges, we must follow the manufacturer’s specific instructions in order to avoid damaging the IOL.
In the case presented here, the IOL was incorrectly loaded, and upon injection into the anterior