Our video describes a new surgical technique to treat a refractive error and an intraocular lens (IOL) opacification in only one surgery. A 65-year-old female was operated for cataract and hyperopia two decades ago using a piggy-back technique, resulting in a postoperative refractive error. Two years ago, she was diagnosed with secondary posterior capsular opacification and she received multiple sessions of Nd:YAG laser, damaging the optics of the two IOLs. Our surgery consisted in the explantation of the optics of all of the three pieces IOLs, leaving their respective in-the-bag haptics, the implantation of a new intraocular multifocal optics without haptics and the coupling of the in-the-bag haptics in the new multifocal optics. After surgery, a complete stabilization and centering of the multifocal optics was achieved, resolving the previous refractive error.