Visual outcome of scleral fixation of posterior chamber intraocular lens in eyes with inadequate capsular support

Objective: to evaluate visual outcome and complications of scleral fixation of posterior chamber intraocular lens (sf-iol) in eyes with inadequate capsular support. methodology: this is a prospective case series which consists of eighteen eyes of 13 patients. these were divided into group a having traumatic subluxation of lens or inadequate posterior capsular support and group b with idiopathic, familial and syndromic ectopia lentis having zonular weakness more than 180º. lensectomy and sf-iol was performed. best corrected visual acuity (bcva), intraocular pressure (iop), intraocular lens (iol) positioning, anterior and posterior segment examination was performed on every follow up visit. results: mean age was 15.05 ± 8.99 years. mean follow up was 18.88 months ± 15.07. mean preoperative logmar bcva in 18 eyes was 0.93 ± 0.76 and mean postoperative log mar bcva was 0.41± 0.24(p=0.01). mean postoperative logmar bcva in group a was 0.27±0.27 and group b was 0.48 ± 0.20. twelve eyes (66.7%) did not show complications. fourteen eyes (77.8%) did not require second surgery after sf-iol. conclusion: sf-iol is a safe procedure in eyes with inadequate posterior capsular support and ectopia lentis with more than 180º of zonular weakness.