Intrastromal misplacement of a foldable IOL during phacoemulsification: Intraoperative OCT identification of type-1 dua's layer separation

Background: Intrastromal misplacement of a foldable intraocular lens (IOL) during cataract surgery is exceedingly rare. Immediate identification of the separation plane is critical to prevent additional corneal injury. Case report: (56.4% loss), and corneal clarity was maintained. Conclusions: Intraoperative AS-OCT provided decisive, real-time visualization of the stromal entry plane and Type-1 Dua's layer separation, allowing safe retrieval of the misdirected IOL and preservation of Descemet's membrane integrity. Recognition of this separation pattern is essential for guiding atraumatic management of this extremely rare complication.