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!
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One haptic in bag, other haptic in sulcus
the zonula
is unequally lax due to tamsolusin and/or myopia.
Localised zonular dehiscence due to myopia
One haptic not in the capsular bag.
One haptic is in the sulcus
Looks like the haptic on the left side of the image is not in the bag/is in the sulcus
One haptic chillin in the sulcus. Hard to see because pupil slightly miotic
Residual cortex in the capsular bag