Materials and Methods: In this retrospective study, 32 aphakic eyes of 32 patients following complications of cataract surgery were evaluated. Foldable three-piece acrylic intraocular lenses were fi xed to the sclera at 3 and 9 o?clock, 1.5 mm from the limbus with 10-0 polypropylene sutureby the suture technique of burying the knot through the scleral tunnel. Patients underwent a detailed ophthalmic examination. Visual acuity, intraocular pressure, anterior-posterior segment examination fi ndings, complications were assessed preoperatively and in postoperative period of 1. day, 1. week, 1-3-6 and 12. months.

Results: The average age of the patients was 52.26. The mean of preoperative best corrected visual acuity was 0.24 logMAR, and at 12th month of the surgery the mean was calculated as 0.36 logMAR. Preoperative mean intraocular pressure was 16.26 mmHg, and the mean was 16.86 mmHg at month 12 following surgery. Prior to postoperative 1th month, the increase in intraocular pressure was observed mostly and it was followed by the anterior chamber hemorrhage as early complications. The most common observed late complication of surgery was cystic macular edema after postoperative 1th month and the second was irregular astigmatism.

Conclusion: Secondary scleral fi xated intraocular lens implantation may be an effective surgical method in patients with an inadequate sulcus support complicated after cataract surgery. It might provide a signifi cant increase in fi nal visual acuity with minor complications. Keywords : Scleral fixation, aphakia, cataract surgery