Abstract: Objective To observe the efficacy of modified sutureless scleral fixation of posterior chamber intraocular lens for patients with insufficient capsular support. Design Retrospective case series. Participants 13 cases (13 eyes) with loss of lens capsule in Hainan Provincial Ophthalmic Hospital from June 2018 to May 2019. Methods All patients underwent posterior chamber intraocular lens implantation with modified sutureless intrascleral fixation. The clinical data of patients were collected. Eye examination, including visual acuity, refrective examination, and intraocular pressure was performed before surgery and 1 day, 1 week and 1 month after surgery. Main Outcome Measures visual acuity (LogMAR), refractive status, IOP, operation time, operative complications.  Results The mean of preoperative naked eye vision was 1.58±0.08, postoperative naked eye vision was 0.70±0.11 (t=6.519, P=0.000). Preoperative refractive mean 10.54±0.35 D, postoperative refractive mean 0.73±0.39 D (t=16.284, P=0.000). The duration of the operation was 27.92±10.18 minutes. Postoperative low intraocular pressure was 1 case, and postoperative corneal edema was 4 cases, which all recovered one week after operation. No intraocular lens dislocation, iris clamping and intraocular lens exposure occurred after operation. Conclusion This short-term result shows that modified sutureless intrascleral fixation of posterior chamber intraocular lens is a simple, safe and effective surgery for the fixation of intraocular lens with insufficient capsular support. (Ophthalmol CHN, 2020, 29: 284-287)

Key words: intraocular lens, sutureless intrascleral fixation