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The complication probably occurred during the last surgical phases, which explains why the surgeon might have been unaware. Since we are told surgery was uncomplicated, we must assume a zonular dehiscence or rupture occurred during phacoemulsification or lens implantation. The rupture of the posterior capsule or rupture of the zonular fibers—can produce a small vitreous strand within the anterior chamber. The vitreous strand is incarcerated into the corneal wound, thus maintaining the peaked pupil. This eye has a peaked pupil as the result of a vitreous strand that is clearly visible in Figure 1. What are the possible causes of this? Could it have been prevented? How would you manage this problem? Unfortunately, it persisted, and the pupil remains peaked (Figure 1). On the second or third day postop, however, the patient noticed that her pupil was distorted—but because her vision was stable and there were no other symptoms, she assumed this would settle down. According to the clinical record, the patient had an UCVA of 20/30 with no complications on day 1 postop review. You are asked to see a female patient, aged 53 years, who underwent uncomplicated phacoemulsification in her right eye, through a temporal clear corneal incision 2-weeks previously. Wavescan-Guided Bilateral Multifocal Surface Ablation PresView: A Treatment for Phakic and Emmetropic PatientsĪcuFocus Intracorneal Lens Generating Strong Outcomes Laser Presbyopia Reversal: An Alternative Procedure Treating Presbyopia With New Multifocal IOLsįunctional Vision With a Dual Optic Accommodating IOLĬonductive Keratoplasty: A Surgical Management Option for Presbyopia

Presby-LASIK and the State of Presbyopia Correction Prevention of Corneal Ectasia in Refractive SurgeryĪspheric Algorithms and Quality of Vision History of Ophthalmic Viscosurgical Devices

Routine Use of Microcoaxial Torsional Phaco