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What examination finding separates postoperative capsular block syndrome from aqueous misdirection?

• elevated intraocular pressure (IOP)

• peripheral choroidal detachment

• space between IOL and posterior capsule

• uniformly shallow anterior chamber

• severe pain

After cataract surgery a patient needs an unexpectedly large myopic overrefraction. The cornea is clear, the anterior chamber is shallow and there is a large space between the IOL and the posterior capsule. IOP is 14mmHg. What appears to be the etiology of this refractive surprise?

• Incorrect IOL power for target refraction

• inverted IOL

• Capsular bag distension syndrome

• IOL in sulcus instead of the capsular bag

• IOL decenteration

A 42-year-old man with adult-onset diabetes mellitus reports worsening vision at distance over the past 6 months. He has not worn eyeglasses or contact lenses but ask about possibility of LASIK to correct his vision. He says that his blood glucose levels have ranged between 175 and 350 mg/dL (9.642—19.284 mmoVL) during the past 2 years, and his most recent HbAlc was 8.5. Corrected distance visual acuity is 20/15 in each eye (right eye, 2.50 sphere; left eye, 2.00 sphere), and findings from the ophthalmologic evaluation are other-wise normal. What is the most appropriate initial management?

• glucose control prior to evaluation

• contact lens fitting

• eyeglass correction

• LASIK surgery

• RLE

What is the best preferrable intraocular lens for patient with history of uveitis?

• Placing a acrylic lens in the ciliary sulcus if lens cannot inserted on the capsular bag

• Acrylic PCIOLs placed in the capsular bag

• Placing a lens in the anterior chamber if lens cannot inserted on the capsular bag

• Silicone lens implanted in the capsular bag

• Silicone lens in the ciliary sulcus with optic capture

What finding is confirmatory for post cataract cystoid macular edema?

• Is tipically symptomatic and permanent

• Petaloid hyperfluorescent pattern on fluorescein angiography

• Response to corticosteroids and prostaglandin inhibitor eyedrops

• Hyporeflective cystic spaces in outer plexiform layer by OCT

• heals itself overtime

An eye with extreme increased axial length may be susceptible to what intraoperative issue?

• Higher risk of iris prolapse

• Lens iris diaphragm retropulsion syndrome

• IFIS

• Higher risk of endothelial damage

• Higher risk of PCR due to trampoline effect

What technique to prevent posterior chamber rupture in patient with Posterior Polar Cataract?

• Always do complete hydrodissection to release the posterior cataract

• Maintain the AC depth with OVD and high bottle of irrigation

• Perform gentle hydrodelineation,leaving a generous amount of epinuclear bowl

• Deliver excessive of fluid around the cortex up and cross

• Avoid do hydrodelineation due to posterior capsule adhesions

An 82-year-old woman underwent uncomplicated intracapsular cataract surgery 20 years ago. No intraocular lens implant was inserted. Her aphakic vision was good up until several years ago, when a gradual loss of vision developed. Her vision has now dropped to 20/100. The slit-lamp appearance of the eye is shown in the figure. Important details in her history and physical exam whould not include which of the following?

• High intraocular pressure due to secondary closed angle glaucoma

• 1. Vitreous touching the endothelium

• 1. Intact hyaloid face but DMD

• 1. Amount of corneal endothelial cell count

• exposure keratopathy due to lagophthalmos

Following cataract surgery with implantation of toric-IOL, the patient is very unhappy with the postoperative best-corrected vision. Given the preoperative topography shown (K1 53,8; K2 50,9), what preferred management would you suggest?

• Soft contact lens fitting

• PKP

• Rigid gas permeable contact lens fitting

• Piggy back IOL

• IOL exchange

A 65-year-old man that had an uneventful phacoemulsification one day before, came for 1 day follow-up. visual acuity was 6/12, there is minimal corneal oedema with a        positive Seidel test. anterior chamber depth was Van Herrick grade II, with a round , central, regular pupil, and IOL (+) in-the-bag. what is the best management for this case?

• Reform the anterior chamber immediately

• Observation, ask the patient to come again in one week

• Suture the wound immediately

• Cycloplegic eye drop and closed monitoring

• Bandage contact lens