Anterior chamber migration of dexamethasone implants is a rare complication, particularly observed in patients with posterior capsule rupture during cataract surgery. We present a case report of a 63-year-old female with a history of diabetes who underwent complicated cataract surgery resulting in posterior capsule perforation and subsequent anterior chamber migration of the dexamethasone implant. Clinical examination revealed minimal corneal edema and mild anterior chamber reaction. The implant was successfully removed via a corneal incision under local anesthesia. Literature review indicates various risk factors contributing to implant migration, with surgical removal or repositioning being the preferred management strategies. Our case underscores the importance of recognizing this rare complication and highlights the need for prompt intervention to prevent potential ocular complications. Surgeons should remain vigilant for anterior chamber migration, especially in patients with posterior capsule defects, following dexamethasone implantation.
Keywords: Anterior migration, intravitreal injection, surgery, dexamethasone implant