Dalby M, et al. - Two operation methods for late in-the-bag intraocular lens (IOL) dislocation were compared regarding their long-term efficacy and safety. In this prospective, randomized, parallel-group surgical clinical trial, researchers assigned 104 patients (104 eyes) one group for IOL repositioning by scleral suturing (n = 54) or one group for IOL exchange by retropupillary fixation of an iris claw IOL (n = 50) during a 3-year period. After 2 years, the repositioning group had the mean corrected distance visual acuity of 0.20 ± 0.29 logarithm of the minimum angle of resolution (logMAR) units (range, −0.18 to 1.10) and the exchange group had 0.22 ± 0.30 logMAR (range, −0.10 to 1.22). Outcomes suggest that the visual acuity using IOL repositioning and that using IOL exchange did not differ significantly 2 years after surgery. They identified the two methods as equally efficient and safe from a long-term perspective and considered both as acceptable treatments.