Gary Wörtz, MD, and Blake Williamson, MD, MPH, invite Nicole Fram, MD, to share a surgical horror story in which a patient experienced light arcs, starbursts, and halos after silicone IOL implantation. Dr. Fram describes her approach to IOL exchange using a Collamer lens with a larger optic to manage the positive dysphotopsias. She reviews the complications she encountered during the procedure, including iris prolapse and iridodialysis, and describes her strategies for managing stressful surgical events.