A 68-year-old Caucasian male driver attended a six‑week postoperative review after uncomplicated right-eye (RE) phacoemulsification. Preoperative fundus was normal; RE refraction +2.50/–0.25×65, Snellen VA 6/12 PH NI. Postoperatively, RE Maxitrol (dexamethasone 0.1% + antibiotics (neomycin, polymyxin B)) was tapered over four weeks. At six weeks, he reported reduced RE vision and was referred for further assessment.

There was no history of ocular surgery, contact lens use, allergies or familial eye disease. He was a smoker with well‑controlled atrial fibrillation, hypertension and hyperlipidaemia, treated for 10 years with bisoprolol, losartan and amlodipine, and simvastatin respectively.