Performing cataract surgery in an eye with a recent corneal laceration and a lacerated anterior lens capsule requires careful surgical planning and a modified approach to minimize further trauma. First, the integrity of the corneal wound must be thoroughly assessed. If the wound has been recently sutured, care should be taken to avoid disturbing the sutures or causing wound dehiscence during surgery. Incisions should be placed away from the original laceration to preserve structural stability. The presence of an anterior capsular tear alters the dynamics of the capsulorhexis (if one can still be performed). Hydrodissection should be performed cautiously or avoided to prevent extension of the capsular tear. Gentle phacoemulsification with reduced parameters is advised to minimize stress on the capsular bag. In this case our guest surgeon does a great job with this tough case.