1177: what is this red reflex crescent?

This patient is undergoing cataract surgery and as soon as you insert the phaco probe into the eye, you notice this crescent-shaped red reflex in the nasal quadrant. What is going on here? And more importantly, how do you proceed? Note that the patient had a prior pars plana vitrectomy and the patient is monocular. This is quite the challenge.

Think about it and then click to learn from this challenging case: