The document describes the Wisconsin cataract grading system (SPONCS) which uses a scale of 0 to 5 to classify the density and maturity of cataracts based on slit-lamp photographs. A grade is critical for predicting surgical needs, technique, and assigning cases. It also allows surgeons to anticipate complications without personally evaluating every patient. The rest of the document lists additional cataract surgery topics including the effect of capsulorhexis on outcomes, tips for hydrodissection technique, and managing related complications.