1. After cataract surgery, a patient presents with a shallow anterior chamber and high IOP.

A laser
peripheral iridotomy fails to deepen the chamber or lower the IOP. What is the next appropriate treatment?

a. cyclophotocoagulation

b. cycloplegia and aqueous suppression

c. surgical vitrectomy

d. topical miotics and a second laser peripheral iridotomy

2. During cataract surgery, there is a large break in the posterior capsule. The surgeon de- cides to
place an IOL in the ciliary sulcus. Why should a 3-piece IOL be used instead of a single-piece acrylic
IOL?

a. The larger haptics on the single-piece acrylic IOL can make contact with uveal tissues

and lead to uveitis-glaucoma-hyphema (UGH) syndrome.

b. The larger haptics on the single-piece acrylic IOL can make contact with and weaken the
zonular fibers, potentially causing dislocation of the IOL.

c. Placementofasingle-pieceacrylicIOLinthesulcuswillleadtoexcessmyopicshiftdue to the planar

nature of that IOL, as opposed to the posterior vaulting of a 3-piece IOL.

d. The planar nature of the single-piece acrylic lens makes it difficult to perform optic capture
within the capsulorrhexis when the IOL is placed in the ciliary sulcus.

3. An ophthalmologist is performing a routine phacoemulsification when she notes that the remaining half of the
nucleus has suddenly dropped through an open posterior capsule and appears to be suspended on the anterior
vitreous face. What is the best next step?

a. immediate withdrawal of the phaco instrument and any secondary instrument from

the eye

b. injection of OVD to stabilize the anterior chamber

c. lollipopping the nucleus with the phaco tip in order to pull it into the anterior chamber

d. vigorous irrigation with a balanced salt solution to swill the remaining nucleus into the

anterior chamber