A 42-year-old woman with Marfan syndrome presented with a completely dislocated native lens. The lens dislocated into the anterior chamber, causing central corneal edema and elevated IOP. Watch ophthalmologist Rami Shasha, MD, as he performs lens extraction and an anterior vitrectomy with Yamane intrascleral haptic fixation. This video won 3rd place in the 2023 YO Video Competition.