Presented during the Cataract Spotlight at AAO 2017, this is a case of an 85-year-old patient’s pseudophakic right eye was always her best eye, but it has now declined to counting fingers due to geographic age-related macular degeneration (AMD). She desires surgery in her left eye, which has hand motions vision, a black lens, a fixed small pupil with 360 degrees of posterior synechiae, and an extremely shallow anterior chamber. The axial length is 21.34 mm.