Question 13

Mrs. Edgenia Allan Poe, your favorite English teacher from high school has chosen you as the surgeon to do her cataract surgery. She is very excited to be able to read with her favorite reading glasses as well as take long drives up to the mountains to visit her grandkids. You decide with her on a monofocal IOL set for distance with the plan to use OTC readers for near work. Post op day one from what you felt like was flawless cataract surgery OD, you are looking forward to a big hug when you see her in clinic. Instead, she says, "I can see my poems up close OK, but I can't see my clock across the room. What happened, doc?" Uncorrected she is 20/70 at distance. You refract her and with -2.00 sph she improves to 20/25 at distance. What is a potential cause of her myopic surprise?

Capsular block syndrome

Your axial length measurement was erroneously short

Single piece IOL intended for bag placement ended up in the sulcus

All of the above

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