Material and Methods: The medical records of 52 eyes of 52 patients that underwent scleral fixation intraocular lens implantation and followed at least 12 months were included, and medical charts were retrospectively reviewed. Demographical features of the patients, postoperative best corrected visual acuity, suture-related complications, and duration of follow up were recorded. The scleral fixation sutures were buried in the scleral using modified Z Baykara technique.

Results: Of the 52 patients, 32 were male and 20 were female. The mean age was 59.2±15.9 years (19-80 years). Mean follow-up was found as 26.7±6.8 months (12-38 months). The preoperative best corrected visual acuity (Snellen chart) was 0.24±0.17 (0.01-0.06), whereas it was found 0.53±0.29 (0.1-1.0) at the final visit (p<0.0001). The mean astigmatism was found 3.1±2.5 D (0.50-9.25 D) at the end of 12 month. The main postoperative complications were suture erosion (2 patients, 4.5%), cystoid macular edema (2 patients,4.5%), minimal tilted intraocular lens (1 patient, 2.2%) and retinal detachment (1 patient, 2.2%).

Conclusion: For aphakic rehabilitation; scleral fixation intraocular lens implantation was a favorable treatment option in eyes with inadequate capsular support as a result of various etiologies. The suture burial using modified Z Baykara technique was found to be safe and effective method to prevent postoperative complications. Keywords : Intraocular lens, modified Baykara technique, transscleral fixation