We should never devalue cataract surgery or claim that it is such an easy procedure because even in expert hands, there is no guarantee of success. Our guest surgeon here is very experienced and talented and in this routine case, when the IOL is inserted something is just not right. The posterior capsule ruptures and there is zonular loss with instability of the IOL. Hard to say exactly when the capsule was compromised, but certainly it is. The patient’s tissue and anatomy play an important role in the success of our surgeries and sometimes, even with an expert operating, there can be complications. Watch the video and tell me what you think happened.