Omar Krad, MD, shares his practical approach to cataract surgery in patients with wet macular degeneration. This case involves a diabetic, hyperopic patient with vision limited to counting fingers, later improving to 20/300 with injections. Given her poor visual potential, Krad favors manual cataract surgery with a basic monofocal lens, arguing that premium options like laser-assisted techniques or toric lenses offer little benefit in such cases. He emphasizes minimizing unnecessary costs and maximizing safety. Post-surgery, the patient’s uncorrected vision improved to 20/60, and she was thrilled with the outcome.