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Sometimes….in fact….many times…life just happens. We try to perfect our lives, prevent problems, be perfectionistic, be proactive. One of my favorite sayings is “Prior prevention prevents poor performance.” I have found that practicing all of these principles will help people to succeed. But at the same time, stuff happens…life happens. Things don’t always work-out as we plan them. This case is a perfect illustration of how life happens. This patient is undergoing laser cataract surgery with planned placement of a panoptix lens implant. His pre-operative measurements: UCVA 20/200 J32 The capsulorhexis was created with the femtosecond laser The cataract was removed safely. Removal of cortex via irrigation and aspiration was routine. Here we are at 5 minutes into the surgery. We place the panoptix lens into the capsular bag. The lens optic and haptics are inside the bag. The capsular bag is perfect at this point. We then proceed to remove the viscoelastic from in front of the panoptix lens. We then rotate the lens about 20 degrees clockwise when out of nowhere we see an opening in the posterior capsule at one o’clock. The capsule opening is identified immediately. Then I think to myself, “How did that happen?” I stop, assess the situation, then think…if the capsule is open, then the panoptix lens will not likely remain centered over the long-term. What do I do now? Well, let’s place some viscoelastic into the eye to assess the situation and get a better handle of what we are dealing with. I really can’t see the leading haptic. So we elect to place iris retractors to visualize the leading haptic at 12 O’clock. Now we can see the capsule is wide open at 12 O’clock. In order to have the panoptix center, we need to rotate the haptics from 12 and 6 O’clock to the 3 and 9 O’clock orientation where there is equatorial capsular bag that would support and allow the panoptix to center. So, we expand the capsular bag with healon pro viscoelastic and rotate the lens gently 3 clock hours clockwise. We place additional incisions to allow us to place our instruments at the optimal approach angles to rotate the lens while maintaining a stable anterior chamber. Once the lens looks to be in the correct position and orientation, we remove the iris retractors and burp out the healon pro viscoelastic. We choose to not perform irrigation and aspiration of the viscoelastic which would create more turbulence in the eye which might also draw vitreous into the anterior chamber. The healon pro viscoelastic comes-out easily with instillation of BSS through the side-port incisions. If the lens did not center, my next move would have been to perform reverse optic capture to move the optic anterior to the anterior capsule leaflets while leaving the haptics in the capsular bag. The panoptix lens was perfectly centered at the end of the case as we can see the reflection of the Lumera microscrope lights centered on the central optic of the panoptix lens at the end of the procedure. The next day, the patient comes-in for their follow-up visit. The eye looks perfect thankfully. The panoptix is perfectly centered. The patient’s vision is UCVA 20/20 J1+. Refraction is -0.25 sphere. IOP is 12 mm Hg. So, sometimes life happens…things don’t go as planned. It is how we respond to these daily situations that will define victory or defeat. On a daily basis, we have to stand-by to get some. Life happens. Thank you for watching. Have a wonderful day.