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in this presentation from northwestern ophthalmology we discussed dysphotopsia a clinical condition not uncommon after uneventful cataract surgery and often under diagnosed letamp;#39;s look at an example a 65 year old patient presented to us for a second opinion he had undergone uneventful cataract surgery at an outside institution six months prior while the overall visual activity was excellent after cataract surgery the patient constantly noted that there was a shadow that was in the shape of a half circle and present on the right side of his visual field in the right eye while the symptom was constant it was more prominent when he focused on a close by object and less prominent when he placed his right hand on the upper right corner of the right eye on examination the visual acuity was 20 20 in the right eye a single piece intraocular lens was present in the capsular bag the lens material appeared to be acrylic and the capsule or excess margin overlapped the edge of the optic 360