Man With Blurry Vision

A 60-year-old male with no documented medical history presented to the emergency department with acute painless monocular visual loss in the right eye (light perception only). Intraocular pressure (IOP) measured 21.3 mm Hg, and a distinct horizontal layer of whitish material was noted at the bottom of the anterior chamber on slit-lamp examination (Fig. A). He was discharged with a diagnosis of mature cataract and phacolytic glaucoma without systemic workup.