1306: Cataract Quiz: IOL not centered

This seemed like a routine cataract case with a good capsulorhexis and strong zonular support. So why did the IOL not center well at the end of the case? The patient is a bit myopic and did have a larger anterior segment and the patient did have a history of distant tamsulosin use. What are your thoughts? Bonus points if you put your answer in the comment section below prior to the reveal of the answer!

click to see if you can pass this Cataract Quiz:

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