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this is malika hook from the university of colorado and the topic today is pseudophakic pupillary block letamp;#39;s start off with a case presentation a 65 year old female with recent history of right eye cataract extraction with iol implantation presented at an outside facility with flashes and floaters and was noted on examination of the right eye to have pigmented vitreous cell and a small horseshoe tear at 12 oamp;#39;clock cryopexy was completed and the patient was sent home with a plan for close follow-up later that night the on-call university ophthalmologist was paged at 8pm the patient was complaining of right-sided eye pain and head pain that was rated 10 out of 10. she was experiencing nausea with gradual decline in vision of the right eye on examination vision was 2100 and the pressure was 58 millimeters of mercury by goldman applination slit lamp exam revealed this finding you can see here that the optic the intraocular lens with the haptics placed approximately at thre