This is another great example of how even an experienced, expert surgeon can encounter a complication during cataract surgery. This is a very difficult case with a dense cataract, small pupil, pseudo-exfoliation, floppy iris syndrome, uncontrolled glaucoma and in a patient who is elderly and on blood thinner (anti-coagulation) medication. There is posterior pressure and shallowing of the anterior chamber during surgery and the red reflex changes from the bright orange to a darker hue as the patient develops a choroidal hemorrhage. Watch the video and tell me the time at which you think the choroidal hemorrhage first occurs. I am not 100% sure.