[Suture fixation of posterior chamber intraocular lenses in the absence of capsular support]

By transscleral suture fixation, posterior chamber IOLs were implanted in 29 eyes (27 patients), including secondary implantation in 13 eyes 6 months to 10 years after intracapsular cataract extraction, fixation of dislocated IOL in 2 eyes, and primary implantation in 14 eyes with ruptured capsules due to complicated extracapsular extraction or traumatic cataract. All the patients enjoyed better postoperative vision, e.g. 20/20 or better in 20 eyes (69%) and 20/40 or better in 27 eyes (93.1%). Complications occurred in 2 eyes, one of cystoid macular edema and the other of early IOL tilt. This technique makes it possible for almost all eyes after cataract extraction to be implanted posterior chamber IOL.