While most surgeries are routine, an increasing number of them pose significant challenges in the clinic and the operating room. In each issue, Uday Devgan, MD, FACS, FRCS, presents a challenging case and the way to successfully approach it in the clinic and the operating room to provide the best visual outcome for the patient. Dr. Devgan is in private practice at Devgan Eye Surgery in Los Angeles and Beverly Hills. He is also Chief of Ophthalmology at Olive View UCLA Medical Center and Associate Clinical Professor at the Jules Stein Eye Institute of the UCLA School of Medicine. He can be reached at 11600 Wilshire Blvd., Suite 200, Los Angeles, CA 90025; 1-800-337-1969; website: www.DevganEye.com; email: devgan@gmail.com.