Purchased to extend my Valve Index to another room of my house from where my PC is located. This cable does *usually* allow the passthrough cameras and everything to work, but I have found that it consistently adds some kind of latency to the connection. The result is that tracking stutters badly and it starts missing button presses. These issues are not present in any form when connecting the headset straight to my PC or using a SIIG copper-based extender (though that one doesn't work with the passthrough cameras at all). Also, both ends of the cable get disturbingly hot during use.Haven't tried it with other devices. While I've been trying to look on the bright side and left the other two solutions I've tried that didn't work 4 stars due to their clear fitness for other tasks, the latency and heat issues prevent me from doing that here. The SIIG cable I kept just because I got it on a good warehouse deal and it works mostly. This one is going straight back due to what I deem to be a safety hazard and defect.Full USB 3.0 speeds over 100' away from my PC. I'm using this cable to extend my PC to another area of my home 100' away. There I'm using a powered 8 port USB 3.0 hub to plug in another keyboard, mouse, video adapter and more so I can have a change of scenery and still use my PC as if I was sitting at my desk 100' away. I was curious how a fiber optic cable would power the output end devices. The fiber optic cable includes copper wires to carry 5VDC from the source end to power light USB loads. But in my case I needed to plug in power hungry devices (i.e. the HDMI video adapter for my remote monitor) so a powered USB 3.0 hub was needed at my receiving end. This product was plug and play and performs to the full specifications of USB 3.0 I am very satisfied with this purchase.Works exactly as expected. I have it connected to USB 3.0 on my PC and then a USB 3.0 hub on the other end. Mouse, keyboard, microphone, and an audio DAC all connected to the hub and haven't had any hiccups. Even connected a USB 3.0 flash drive and got speeds way above USB 2.0.The female end does get really hot. I ended up getting some 20x20mm heatsinks and attached them with thermal tape. Now it's barely warm and I'm much more comfortable with the temperature. No fan needed.I had bad experiences with the other format of SlimRun optical cables, but I thought maybe Monoprice had gotten it right with this cable. Turns out I was wrong. The cable just doesn't work. USB 3.0 devices attached to it just constantly reset. Sometimes even unplugging it from a running computer results in a freeze requiring a hard reboot of the machine. This happens even on USB 3.0 devices that don't require power from the cable, so it is definitely a cable issue as passive extension cables work just fine.Things to Note:The cable uses hubs to extend the length, so you need to watch out for that due to USB hub daisy chaining limits. This isn't mentioned anywhere in the description. Also the cable's metal casings get uncomfortably hot during operation, even at low bit rates.I'm guessing Monoprice changed owners as their cable quality is garbage now compared to years go.I use this with a usb 3.0 hub to supply all my desk devices like keyboard, mouse, speaker input, had some issues with plugging my pre-amp for my mic, so I plugged that into a second optical run.There will be weird issues having to do with hubs, device power draw, and things like that, but I've for the most part had no issues connecting what I usually connect. Very rarely I'm left no choice but to disconnect and reconnect the optical cable from one end, this doesn't happen often.The usb female end connector generated a wicked amount of heat. While I don't have evidence to support this, I feel like it it becomes less stable when left as is. I've attached small heat sinks all over the connectors, but it still was getting wicked hot, I can't hold it in my hand for very long hot. In addition to the tiny stick on heatsinks I put all over the female end of the connector, I am blowing a tiny fan over the two optical cable ends, and I feel like its working reliably, I honestly don't remember having to unplug and replug this since I've done this.You should know that while the cable is relatively flexible I totally baby it, by being very gentle with its runs. I've been using one run of the optical for my usb hub for 2-3 years now. Still working fine with the active cooling I put on. I have my computer on other side of room, so the only way to get my devices to work at my desk is via this cable. USB-c for all its benefits does not do long runs. USB-c optical from corning is still in the baby stages and has a lot of reviews of it dying within 6 months for a multitude of reasons.The cooling on this is honestly terrible, they could have at least make the female connector side flat so people could put their own heatsinks over top of it easier. While I don't have evidence I would not run these without active or somehow with a reboust heatsink solution to keep temps down.Concerning the price, I'm pretty sure i bought these for 150-170 on monprice a long time ago.I purchased this (along with a fiber HDMI cable) to extend my office PC to another room for media and gaming. The USB cable is connected to a powered, 4-port hub, and has been working well with no perceived latency or interruption for about 3 weeks thus far. The cable comes with a power adapter, but I have not needed it.The male end of the cable, plugged into my PC, gets slightly warm during use, but the female end gets hotter than I would like. The specs list an operating temperature of up to 131F, and although I haven't measured the temperature, that seems accurate from the feel of the female end's metal jacket. I placed a small, 10mm Noctua fan behind it, which has worked well in keeping it cool.While I've rated it 4 stars, ideally I would rate this 3.5, with the cons being the relatively high price, and the fact that it's a USB cable that gets hot enough that I felt the need to actively cool it.