This patient sustained trauma to his eye years ago and that resulted in a cataract which, over time, became liquefied and then resorbed. This allowed the capsular bag to collapse and this caused extensive zonular loss. The remaining lens material became very dense and the rest of the capsular bag fibrosed. This is a challenging case and it is successfully operated by a resident surgeon who does a great job. Before watching the video, ask yourself, “How should I approach this case?” What will you do for IOL placement?