Management of postoperative hypotony with fibrin glue following scleral tunnel-based explantation of pIOL and simultaneous ICL implantation: A case report

In cases where repeat suturing fails to control hypotony after scleral tunnel-based lens exchange, fibrin glue offers a minimally invasive, rapid, and effective alternative to restore wound integrity. Early detection of endothelial damage and the use of a low-trauma scleral tunnel approach can help preserve corneal health during pIOL-to-ICL transitions. However, as this is a single case, further evidence is needed to confirm the durability and safety of this approach in broader clinical settings.