Transsclerally sutured versus ciliary sulcus lenses

We evaluated retrospectively the results of 39 eyes in which the implantation of a lens in the capsular bag was not possible. Due to the loss of capsule a transsclerally sulcus sutured lens (TSSL) was implanted in 9 eyes. In 30 eyes a ciliary sulcus supported lens (SSL) could be implanted using residual capsule support. Lens implantation in the ciliary sulcus resulted in improved vision in 33/39 eyes (7/9 TSSLs, 26/30 SSLs). Postoperatively slight decentration of the implant lens was observed in 3 eyes, 6 eyes developed glaucoma, 5 eyes developed hyphema after surgery and 2 patients developed retinal detachment in the late postoperative period.