This 48-year-old man had a penetrating injury with a mature white cataract and extensive zonular dialysis and iridodialysis. He had RK and LASIK procedures many years prior to the injury. The video demonstrates the use of trypan blue dye to diagnose the anterior capsular rupture and the management of a traumatic cataract in this situation. Suture repair of the iridodialysis and traumatic mydriasis is shown.