{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:25:54Z","timestamp":1787840754226,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Postoperative complications of cataract surgery are uncommon, and accidental entry of topical ointment into the anterior chamber is a particularly rare event. We report the case of a 67-year-old male with bilateral cataracts and old macular scar in the right eye asteroid hyalosis in the left eye, who developed intraocular migration of 6% sodium chloride ointment following uncomplicated small-incision cataract surgery. On postoperative day 1, a whitish, semi-solid, free-floating material was observed in the anterior chamber, accompanied by mild corneal edema and 1+ anterior chamber cells (SUN classification), initially raising suspicion of early toxic anterior segment syndrome. Due to diagnostic uncertainty, anterior chamber irrigation was performed, during which the material\u2019s consistency confirmed the diagnosis of intraocular ointment entry. This case highlights a rare but important postoperative complication and underscores the need to recognise potential routes of ointment migration, including subtle wound gaping or side-port entry, particularly in patients who may squeeze the eye postoperatively.<\/jats:p>","DOI":"10.4103\/aam.aam_525_25","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T15:00:28Z","timestamp":1773673228000},"page":"S216-S219","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Accidental Entry of Ointment in Anterior Chamber Postcataract Surgery: A Clinical Conundrum"],"prefix":"10.4103","volume":"25","author":[{"given":"Aishwarya M.","family":"Angadi","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krutika Jeevan","family":"Ladi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahan","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Sangwan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"R1-20260819","first-page":"921","article-title":"Cataract surgery and methods of wound closure: A review","volume":"9","author":"Matossian","year":"2015","journal-title":"Clin Ophthalmol"},{"key":"R2-20260819","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.jcrs.2005.12.093","article-title":"Toxic anterior segment syndrome and possible association with ointment in the anterior chamber following cataract surgery","volume":"32","author":"Werner","year":"2006","journal-title":"J Cataract Refract Surg"},{"key":"R3-20260819","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.jcrs.2005.12.093","article-title":"TASS and intraocular ointment","volume":"32","author":"Werner","year":"2006","journal-title":"J Cataract Refract Surg"},{"key":"R4-20260819","doi-asserted-by":"crossref","first-page":"11","DOI":"10.4103\/IJO.IJO_1796_23","article-title":"Toxic anterior segment syndrome (TASS): A review and update","volume":"72","author":"Verma","year":"2024","journal-title":"Indian J Ophthalmol"},{"key":"R5-20260819","first-page":"344","article-title":"Systematic review and case report on intraocular ointment after cataract surgery","volume":"25","author":"Paul","year":"2025","journal-title":"Int J Ophthalmol"},{"key":"R6-20260819","doi-asserted-by":"crossref","first-page":"e230076","DOI":"10.1136\/bcr-2019-230076","article-title":"Asteroid hyalosis prolapse in the anterior chamber after cataract surgery","volume":"12","author":"Doshi","year":"2019","journal-title":"BMJ Case Rep"},{"key":"R7-20260819","doi-asserted-by":"crossref","first-page":"3803","DOI":"10.4103\/ijo.IJO_1812_22","article-title":"Complications of manual small-incision cataract surgery","volume":"70","author":"Goel","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R8-20260819","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/S0886-3350(00)00498-3","article-title":"Wound complications associated with incision enlargement for foldable intraocular lens implantation during cataract surgery","volume":"27","author":"Kumar","year":"2001","journal-title":"J Cataract Refract Surg"},{"key":"R9-20260819","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/S0161-6420(96)30713-6","article-title":"Enlargement of incision width during phacoemulsification and folded intraocular lens implant surgery","volume":"103","author":"Steinert","year":"1996","journal-title":"Ophthalmology"},{"key":"R10-20260819","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1016\/S0886-3350(98)80045-X","article-title":"Variation in clear cornea incision size after phacoemulsification and foldable lens implantation","volume":"24","author":"Moreno-Monta\u00f1\u00e9s","year":"1998","journal-title":"J Cataract Refract Surg"},{"key":"R11-20260819","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1159\/000529929","article-title":"Asteroid hyalosis migration into the anterior chamber during cataract surgery","volume":"14","author":"Saeed","year":"2023","journal-title":"Case Rep Ophthalmol"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_525_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:28:18Z","timestamp":1787837298000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_525_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,16]]},"references-count":11,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_525_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,16]]},"assertion":[{"value":"2025-09-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}