This 56 y.o. male whom I have been following for the past 14 years with Hand Motions visual acuity in both eyes, presented with a two week history of noticing his vision to be even worse than usual and finding himself to be light sensitive. This was not what I was expecting to find.
He was booked for semi-urgent removal of the brunescent cataract that was now in his anterior chamber. He received the routine cataract perioperative drops including antibiotics and dilating drops and was positioned for surgery. Under the operating room microscope, the lens was back in position in the posterior chamber.
What would you do next?