A tree surgeon suffered a traumatic floor fracture complicated by multiple organic foreign bodies. CT confirmed a left floor fracture and medial wall fracture and decreased attenuation in the inferior orbit and maxillary sinus. Exploration of the orbital floor led to the removal of multiple wooden fragments up to 2.5 cm in length. Additional surgeries led to the removal of additional wooden fragments. Detection of organic intraorbital foreign bodies requires a high degree of clinical suspicion and close consultation with a radiologist.

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Five patients presented to 3 university eye clinics with complaints of blurred vision in their pseudophakic eye after complicated intraocular surgery and were found to have reverse orientation of an AC IOL. Intraocular complications included posterior vaulting of the iris in all the patients, severely decreased vision in 4 patients, corneal edema in 3 patients, and cystoid macular edema in 1 patient. Penetrating keratoplasty was performed in patients with severe corneal edema, but the visual outcome was limited. Despite advancements in cataract surgery techniques and outcomes, there is a need for AC IOL implantation at times. However, infrequent use by ophthalmologists may lead to improper insertion. Physician awareness of proper AC IOL insertion can prevent vision-threatening complications and the need for additional surgery.Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned. JCRS Online Case Reports 2013; 1:e53-e55 Q 2013 ASCRS and ESCRSWith the rapid advances in cataract surgery, the need for anterior chamber intraocular lens (AC IOL) implantation has decreased and ophthalmologists are placing these IOLs less frequently. Consequently, new ophthalmologists and residents leave training with less experience inserting these IOLs and seasoned ophthalmologists use AC IOLs less frequently and may become less comfortable with AC IOL insertion over time. However, complications with cataract extraction still arise for which an AC IOL has been shown to be an appropriate and safe IOL choice.

We present a case of transient band-like corneal deposit, a novel complication of fluocinonide and ketoconazole exposure.

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