This patient sustained a chemical burn to the ocular surface and then underwent a limbal stem cell transplant procedure for rehabilitation. The patient has since developed extensive corneal pannus with neo-vascularization that is blocking a large portion of the view for cataract surgery. How would you proceed in this challenging case? What about IOL calculations? Should you use a toric IOL for astigmatism management? How would you make your phaco incisions? So many questions.

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