Ocular hypertonia of crystalline origin represents a medical and surgical emergency, although it is relatively uncommon in developed nations, its prevalence is notable in our specific setting, contributing to approximately 1% of cataract surgeries. The primary approach to management involves symptomatic treatment with hypotensive agents and the consideration of extracapsular lens extraction, either with or without subsequent implantation. The prognosis of this condition is contingent upon prompt intervention, the extent of hypertonia severity, and the degree of optic nerve impairment. In this report, we present a case study involving a 70-year-old patient with cataract complications characterized by ocular hypertonia, emphasizing the clinical considerations and challenges associated with its diagnosis and management.