An otherwise healthy white man in his 40s was referred to the cornea service for decreased vision in the setting of a white cataract in his left eye. The patient reported the acute onset of foreign body sensation in his left eye while splitting wood 1 year prior. He attended a hospital emergency department at that time and was diagnosed with a corneal abrasion and treated with topical antibiotics. He stated that his vision initially returned to normal after treatment, but had subsequently worsened. He complained of tearing, photophobia, and burning in the left eye.