Migration of a dexamethasone (DEX) intravitreal implant into the anterior chamber causes corneal decompensation and requires removal. The migrated implant is friable and difficult to grasp with surgical instruments, disintegrating into numerous fragments on manipulation. A 69-year-old man with macular edema, posterior chamber IOL, and a history of vitrectomy for retinal detachment presented with migration of a DEX implant and corneal edema. The patient underwent removal and reimplantation of the migrated implant. This video presents the surgical technique.