We have all seen it before: thousands of small, white, refractile bodies floating in the vitreous cavity with seemingly little effect on the patient’s vision. Asteroid hyalosis occurs in a small percentage of our patients and most of the time is of little consequence. But given that the vitreous cavity is full of these particles, can we still use a trifocal IOL or extended depth of focus (EDOF) IOL in these eyes? This video goes into more detail to discuss the issues and the limitations. Can you guess which IOL I chose?