Transsclerally fixed posterior chamber lens in absence of posterior lens capsule support.

If an anterior chamber lens is contra-indicated in case of a (secondary) lens implantation with absence of a posterior capsule support, a posterior chamber lens (PCL) can be implanted fixing the haptics by sutures. The fixation is best achieved by directly suturing the haptics transsclerally into the sulcus, or indirectly by means of an iris flap created from an iridectomy. Complications are rare and not severe and long-term stability is rather good, provided an appropriate technique is applied including small incision, anterior vitrectomy and the use of viscoelastics. Forty-eight cases are reported with a follow-up of more than 5 years.