• Management of Traumatic Cataract Phacoemulsification converting to ECCE Description: This is a case of a 35 year old male hit by a slingshot 28 years ago. Visual acuity revealed counting fingers at 3 feet with slit lamp findings of iridodialysis from 12 to 3 o clock hours, central iridilenticular adhesions and posterior subcapsular cataract (see pre operative photo). Risks and visual prognosis such as refractive amblyopia, inadequate lens bag support and posterior pole problems were disclosed to the patient. A possible staged procedure such as cataract extraction first and secondary iris reattachment was explained to the patient. The surgeon initial plan was to pursue phacoemulsification because of the presumed soft cataract but upon rotation, a surprised brunescent cataract made the plan more cumbersome. Phacoemulsification was attempted despite the increased machine settings but was shifted to ECCE to avoid further complications. The ECCE and IOL implantation went smoothly. Two days post operative visual acuity was 20/70 best corrected to 20/40 with refraction of plano/-2.00 x 180. Subspecialty: Cataract / Anterior Segment Level: Intermediate Uploaded By: Emerson Cruz