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.