Materials and Methods: We retrospectively reviewed files of patients who underwent primary or secondary scleral-fixated intraocular lens (IOL) implantation between June 2018 and November 2020. Age, gender, preoperative surgery indications, and duration of follow-up were recorded in all patients. The preoperative best-corrected visual acuity (BCVA), intraocular pressure (IOP), refraction outcomes, central macular thickness (CMT), and macular segmentation measurements were compared with postoperative values.

Results: The study included 25 eyes of 25 patients. The median age was 72 (32-92) years. Surgical indication was aphakia in 11 patients (44%), IOL subluxation in 7 patients (28%), traumatic cataract in 3 patients (12%) , lens dislocation in 2 patients (8%), senile cataract in 1 patient (4%) and anterior chamber IOL in 1 patient (4%). The median follow-up time was 6 months (3-24 months). A significant difference was found when preoperative BCVA and SE were compared with postoperative values (p<0.01). There was no significant difference between preoperative and postoperative IOP, CMT, and macular segmentation measurements (p>0,05). The postoperative complications included ocular hypertension in 4 patients (16%), choroidal detachment in 1 one patient (4%), retinal detachment in 1 patient (4%), macular edema in 1 patient (4%) , and endophthalmitis in 1 patient (4%).

Conclusion: Scleral-fixated IOL implantation may be preferred in patients without capsule and zonule support for rehabilitation of aphakia and improvement of BCVA. However, low complication rates should not be ignored. Keywords : Scleral fixated intraocular lens implantation, best-corrected visual acuity, complication