We have featured the IOL scaffold technique before in cases where there is a posterior capsule rupture and the optic is placed under the remaining nuclear pieces to act as a barrier thereby preventing lens material from falling into the vitreous. This case is a bit different since the posterior capsule is intact. With this dense cataract the surgeon elects to use the IOL scaffold technique to protect the posterior capsule as the last parts of the nucleus as phaco-aspirated. If you do this technique, remember to choose a case like this where there is minimal cortex present on the central posterior capsule since that would be challenging to remove with the IOL in the capsular bag.
