This video demonstrates the surgical technique of using an IOL as a scaffold either to protect the posterior capsule or to manage an open posterior capsule. If the posterior capsule breaks during phacoemulsification, insertion of the IOL can help prevent loss of nuclear and cortical material into the vitreous. If the posterior capsule is open and an IOL exchange is required, insertion of the new IOL under the original IOL prior to removing the original IOL can prevent vitreous prolapse.