| Summary points: | A 52-year old with total tetraplegia and inability to communicate due to amyotrophic lateral sclerosis presents with rapid maturation of cataracts and deterioration of eyelid winking. This case details the patient's history, options for treatment, the surgical procedure, and outcome. The authors describe the known molecular pathways that may be involved in the death of motor neurons in ALS, the benefits of phacoemulsification for cataracts, and special considerations for patients with ALS. |