1059: Quiz: the case is not done yet

The answer to this Cataract Quiz is seen in the photo above. Look carefully – what do you notice? The IOL is in the capsular bag, the capsulorhexis is nicely overlapping the optic, and everything looks pretty good — but there is something hiding in plain sight. It is even going to require me to make an additional incision just to finish the surgery. What is your answer to this quiz?

click to reveal the answer to this quiz and see how I resolved the issue: