Mustafi D, Tom E, Messenger WB, et al. - Researchers conducted this retrospective surgical case series to describe clinical outcomes of secondary intraocular lens (IOL) implantation utilizing sutureless trans-scleral techniques in surgically complex eyes. Using a sutureless haptic flange technique, 45 eyes that underwent secondary IOL implantation were analyzed. The most common reason for secondary IOL implantation was aphakia, which occurred most frequently after ocular trauma. In eyes with a history of ocular trauma who undergo secondary IOL implantation using a trans-scleral flange technique, there is rapid visual rehabilitation and reduction of spherical equivalent correction to achieve BCVA. Furthermore, depending on the indication for secondary IOL implantation, a specific IOL power formula can be more predictive of the desired refractive outcome.