for anterior chamber dislocations, in his
opinion, is trauma. Rubbing of her eye by Alson would most likely be the trauma
causing her dislocation, consistent with her history.
As to the incisions, Dr. Key assumed that Dr. Marvelli came in behind the
first incision for the second implant. He agreed the records showed that Dr.
Marvelli came in through the same wound on the third surgery. It would have been
difficult to go through the same incision even if he tried, but widening the
incision and going into fresh tissue would promote healing. Dr. Key would not
recommend operating through the same incision four times. Based on Dr. Key's
review of the medical records, however, in his opinion, Dr. Marvelli was not
negligent, and his operations and follow-up care were not the proximate cause of
the loss of Alston'salthough he entered at the site of the old
incision on the fourth surgery, he widened it with fresh tissue in order to
promote healing. However, the record reveals that Dr. Marvelli, himself, also
testified and his records reflected that he entered at the original or old
"wound" site in the second, third, and fourth surgeries. This was some
evidence, despite Dr. Marvelli's other testimony to the contrary, to support Dr.
Jaffe's assumption on which his opinions were based.
Dr. Marvelli devotes considerable space to arguing that Dr. Jaffe incorrectly
assumed the existence of a wound leak before Alston ended her relationship with
Dr. Marvelli, when there was no such evidence. While Dr. Jaffe stated on
cross-examination, "I assume she had a wound leak before she saw Dr.
Augustat," Dr. Jaffe based this opinion regarding the timing of the
development