A Decepting Refractive Surprise - Post Cataract Surgery Revealing a Dark Secret Beneath

Refractive surprise postoperative cataract surgery is quite an anxious situation for both patients and surgeons, in this modern era where cataract surgery has evolved to a refractive surgery. Here we present an interesting case of post-cataract refractive surprise, where intraoperative events were uneventful and no preoperative fundus pathology of significance. Postoperatively refractive surprise was hyperopic, but on detailed fundus evaluation was diagnosed as pachychoroid syndrome.