1385: Quiz: you notice this after draping

Quiz time! You have this patient scheduled for routine cataract surgery. Nothing out of the ordinary was noted at the pre-operative consultation. About 2+ nuclear cataract with some cortical changes and a best corrected vision of about 20/50 and a macula which has a potential of 20/30 vision due to prior macular edema which has since resolved. As the drapes go on the patient and you insert the speculum, the great red reflex and wide dilation allow you to see something a bit particular. What do you make of it and what should you do differently?

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