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We presenta a case of Refractive Surprise after cataract surgery in a patient which had underwent LASIK more than 15 years ago and later developed cataract! Phacoemulsification was performed targeting a slight myopic residual (-0.75 to -1.00D) however the 2 week postoperative refraction was -2.25D. To correct this myopic error an intraocualr lens exchange was performed The first implanted IOL was a Rayone monofocal, this is a monobloc lens with closed loop haptics, having an overall diameter of 12.5 mm and a 6 mm optic! The pacman technique was performed, consisting of cutting a slice of the IOL optic and then rotating it through a 2.4 mm corneal incision Thsi procedure was done under topical anesthesia We review the technique and provide relevant surgical tips BE sure to like and subscribe if you enjoy this and other of our videos Thank you very much! #ophthalmology #cataract #lasik #glaucoma