This patient has late dislocation of the entire capsular bag including the capsular tension ring (CTR) and the IOL. To secure the IOL, we can either salvage this existing IOL or exchange it for another IOL. To secure it, we can use the belt loop technique with 6-0 prolene or we can suture it with Gore-tex, both previously described here. In this case, our guest surgeon elects to remove the entire bag + IOL + CTR complex and replace it with an iris claw lens. This video also shows some techniques that can be used to help bring down the iris in preparation for this.