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We know that posterior polar cataracts are very challenging because the capsule is weak, fragile, or even partially absent at the site of the opacity. Preoperative planning is crucial, including thorough counseling of the patient regarding the increased risk of complications and possible need for alternative intraocular lens (IOL) placement strategies. Intraoperatively, the key principles are to minimize hydrostatic forces and avoid any posterior pressure that could extend the pre-existing capsule defect. Hydrodissection should be strictly avoided; instead, gentle hydrodelineation is employed to separate the nuclear core from the epinucleus, reducing stress on the capsule. The nucleus should be mobilized using viscodissection and prolapsed into the anterior chamber if necessary. After careful visco-dissection, epinucleus and cortical material removal should be performed using low vacuum, low flow settings, and careful attention to avoid traction on the capsule remnants. If vitreous prolapse occurs, anterior vitrectomy is performed meticulously to clear the visual axis and stabilize the capsular bag. In this case we were able to avoid vitreous prolapse and keep the anterior hyaloid face intact. With the great 5 mm capsulorhexis, a three-piece IOL can be placed in the sulcus with optic capture. The surgical goal is to achieve a stable, centered IOL while minimizing vitreoretinal complications, requiring patience, delicate maneuvers, and readiness to adapt intraoperatively.