In this episode, Dr. Sam Barry and Dr. Sud Koshik discuss the Light Adjustable Lens (LAL) and its use in cataract surgery. They talk about the preoperative counseling process, the adjustments required post-surgery, and the benefits of the LAL. They also discuss the criteria for selecting patients for the LAL, including considerations for astigmatism and ocular dominance. The conversation touches on the LAL Plus and the importance of aiming for distance vision and adjusting myopically to enhance depth of focus. Overall, the LAL is seen as a remarkable technology that allows for post-operative adjustments without additional surgeries. In this conversation, Dr. Sam Barry and Dr. Sud Koushik discuss the use of light adjustable lenses (LAL) in cataract surgery. They talk about the stepwise approach to achieving the desired refractive outcome, including adjusting the non-dominant eye and using contact lenses for trial. They also discuss the timing of post-operative visits and the potential benefits of immediately sequential bilateral cataract surgery (ISBCS). The conversation touches on the importance of preoperative biometry and the interpretation of optical biometry measurements, particularly in patients with a history of refractive surgery. The surgeons also highlight the need for surgeons to be proficient in every step of the cataract surgery procedure, including the loading and implantation of three-piece lenses. They conclude by mentioning future topics to explore, such as the use of LAL in patients with radial keratotomy or keratoconus.