This case lays out the processes involved in a clinical case series, which was performed to determine the indications and outcomes of an uncommon ophthalmic surgery in the sub-Saharan Africa region. The surgery is uncommonly performed due to the high cost associated with it, lack of skilled manpower, and issues related to an absence of a supply chain required for the surgery. From the conception and planning of the research to the execution, I provide a step-by-step review of the process. Although significant bias is associated with chart reviews, useful information can be obtained when reviewing indications and outcomes of surgery in real life, using chart reviews of postsurgical patients, especially if a large sample size can be obtained. This case also demonstrates problems associated with a clinical case series review of surgical outcomes.