• Intraoperative Femtocataract and Descemet's Membrane Detachment Management Description: This is a case of 77 year old male who underwent Femtosecond Laser Assisted Cataract Surgery (FLAC) of the left eye. Pre operatively, uncorrected visual acuity of the left eye was 20/70 with manifest refraction of +2.75/-1.25 x 90 (20/30). Intra operatively, the femtosecond part went well not until the main and side port opening (see 45 sec-1 minute part) wherein the lidocaine accidentally largely dissected the Descemet’s membrane (DM). The dissection was not initially noticed until capsulotomy removal wherein the surgeon felt a gritty/rough texture and difficult removal of capsulotomy (considering it is courtesy of femtosecond). It was only prior to the start of phacoemulsification wherein the surgeon deemed that a large detachment happened. During this period, the surgeon deemed to continue the procedure since the capsule was already open and nucleus was fragmented. (If the case was deferred to allow DM attachment, the surgeon contemplated that inflammation and glaucoma may set in causing further difficulty in managing the case.) Throughout the whole phacoemulsification, generous amount of gel was always infused to protect the detached DM. At the end of the cataract removal, it was noticed that ¾ of DM was detached while ¼ was torn and rolled out. To resolve the case, a titrated C3F8 gas was infused to allow DM attachment. Eight months after surgery, patient was happy with uncorrected visual acuity of 20/30 and best corrected to 20/25 with manifest refraction of +0.75/-0.25 x 20. Subspecialty: Cataract / Anterior Segment Level: Advanced Uploaded By: Emerson Cruz