AIM:To explore a simple and more reasonable fixation of hydroxyapatite (HA) artificial eye mount of auto sclera. METHODS:Fixation was done in 23 cases of blindness with unknown causes. Eye contents enucleation was performed without cutting off extrinsic eyeball muscles. Episclera was sheared radially into 4 parts from nasal superior, inferonasal, subtemporal and supratemporal parts. Posterior sclera was scissored about 6mm around the optic nerve head, again downward, upward, internally and externally. Posterior sclera was sheared about radially the length of 5-6mm.Tenon capsule was dilated right-angle crossed and passively. After artificial eye mount was implanted into orbital muscle cone and sclera cavity, the 4 flaps of the sclera were cross-stitched, performing a double reinforcement effect to HA artificial eye mount RESULTS:All the HA artificial eye mounts implanted into 23 cases presented solid fixations, and full of orbital formations. After artificial eye pad was fixed, by and large, eyes were symmetrical, and artificial eye mount had a good range of motion. The follow-up studies showed none of artificial eye mount occurred to shift, expose, prolapse or other complications. CONCLUSION:The modified simple fixation of artificial eye mount of auto sclera makes it more solid for artificial eye mount to be fixed in the original eye position, and remain the original state of motion, and the operation is simple. After the fixation, it presents a very lifelike effect.