This teenager had a blunt paintball injury 5 months prior to surgery. The lens capsule and iris were lacerated, causing extensive adhesions. This video demonstrates the utility of MST micro-instrumentation, capsular staining, anterior vitrectomy performed via the pars plana, STAAR AQ2010 3-piece IOL placement in the ciliary sulcus, and pupil cerclage with McCannel 10-0 Prolene suturing tied with a Siepser slipknot.