The idea behind the IOL scaffold technique is to use the large 6 mm optic of the IOL as a barrier. We can do this in cases of posterior capsule rupture to allow removal of the remaining nuclear fragments from the anterior segment as the optic prevents vitreous prolapse and dislocation of nuclear pieces. In the video shown here, our guest surgeon uses the IOL scaffold technique to protect an intact posterior capsule in a case of a Morgagnian cataract where the liquefied lens cortex has been absorbed and the capsular bag contains just the remaining endonucleus. What do you think of this technique?
