Keratoglobus is a rare condition, so rare that I have never seen a patient with this condition in my career, where the cornea progressively weakens and takes on a globe shape as it thins. Looking at the picture here you can see the odd magnification caused by this very steep cornea. In particular, look at the shaft of the bent needle outside the eye and then inside the anterior chamber. This distorted view will also make the cataract surgery more challenging. Our guest surgeon does a beautiful job with this tough case in a monocular patient who is 80+ years old. You can see that the cataract is totally opaque and that the anterior lens capsule is wrinkled and fibrotic. Truly a tough case, but with a beautiful surgery and great visual outcome.