This is a very unusual case of bilateral phacomorphic glaucoma where the swollen cataract caused the narrow angles to occlude. This resulted in a very high intra-ocular pressure and corneal edema causing the patient vision loss as well as pain. Medical therapy was initiated but was insufficient to resolve the issues so the patient was brought to the operating room for bilateral, sequential cataract surgery to resolve the anatomic issues. The patient did well and recovered normal vision.
