This is a complete cataract case, shown start to finish, of a patient seen in my private clinic. At the pre-operative consultation the nucleus seemed to be of average density. Even under the surgical microscope in the picture above, the nucleus does not appear to have much density to it and the red reflex is bright. However, once I start to perform nucleus removal, I realize that the density is more than I expected. This video shows how I change gears, phaco settings, and technique to successfully finish this case efficiently and safely.