A 62-year-old female presented to the ED with a two-day history of painless vision loss of the left eye. She reported gradual reduction in her vision over the prior 30 days, with a more dramatic reduction in her vision over the prior two days. She denied any eye pain, flashers, floaters, or diplopia. Past medical history was significant for cerebrovascular accident, hypertension, type 2 diabetes mellitus, and hypercholesterolemia. In the ED, physical exam was significant for chronic left facial droop with white opacification of the left lens, a visual acuity of 20/30 in the right eye, and perception of light only in the left eye. Point-of-care ocular ultrasound using a linear probe (10 megahertz) in the ocular setting showed lens calcification consistent with cataract (). Ophthalmology was consulted, and an anterior segment exam was performed. The right eye showed a diffuse grade 4 superficial punctate keratitis (SPK) with a grade 2 nuclear sclerotic cataract. In contrast, the left eye showed a grade 3 SPK with grade 4 mature cataract. The funduscopic exam was normal in the right eye, while the left eye view was obscured due to the mature cataract. B-scan was performed by ophthalmology, again showing a significant cataract in the left eye. Outpatient follow-up with possible cataract extraction with intraocular lens implantation was recommended by ophthalmology.