This case seemed 100% normal. Reasonable dilation, good zonular support, 5-mm round capsulorhexis, phaco chop, and a normal capsular bag. The single-piece acrylic IOL was injected in a controlled manner and it unfolded normally. Then, at the end of the case, when the viscoelastic was being evacuated from the anterior segment, it was noted that the IOL would not stay centered?
This is a quiz — what do you think is happening?
Click below to see the video where the answer is revealed: