This patient had a panoptix implant placed in reverse-optic-capture (ROC) configuration where the optic was anterior to the anterior capsule and the haptics were posterior to the anterior capsule because she had initially received an IC-8 Apthera lens that she did not like.

The patient had a YAG capsulotomy after having the IC8 lens placed and did not like her vision after YAG capsulotomy with the IC8.

She underwent Intraocular lens exchange (removed the IC8 lens) after YAG capsulotomy. A panoptix lens was placed in ROC.

She was a refractive miss and then had PRK to correct her residual refractive error.

She ended-up hyperopic after a small PRK procedure.

Because she could see well with the panoptix through her manifest refraction and because she did not respond predictably to the prior PRK, we decided to perform another ROC IOLX with a different power panoptix lens.

We present the complication in the video.

Subsequent to this video, she came in for her post op exam and was very happy with her vision!

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