Drs. Ashkan Abbey and George Williams demonstrate an IOL exchange using transconjunctival fixation through trocar cannulas. Shown here in a 72-year-old male with a dislocated 1-piece IOL, the IOL is removed and a 3-piece IOL is used for scleral fixation. Ultrasound imaging after surgery shows a well centered lens with no evidence of tilt or IOL-iris touch.