AIM: To observe the curative effect of foldable intraocular lens(IOL)ciliary sulcus suture fixation with small incision and to investigate the surgical technique.

METHODS: We took a retrospective analysis of 19 eyes without intact posterior capsule or lacking of zonular support, which fail to take a phacoemulsification. 11 eyes had a single-piece IOL ciliary sulcus suture fixated with a scleral incision(group Ⅰ); 8 eyes had a foldable IOL ciliary sulcus suture fixated with a corneal incision(group Ⅱ); Postoperative follow-up observations included visual acuity, intraocular pressure, IOL position and complications.

RESULTS:The postoperative naked visual acuity was improved in 10 eyes(91%)in group Ⅰand in 8 eyes(100%)in group Ⅱ; The postoperative corrected distance visual acuity(CDVA)was improved in 4 eyes(36%)in group Ⅰ and in 6 eyes(75%)in group Ⅱ. The postoperative CDVA was ≥0.5 in 1 eye in group Ⅰ and in 5 eyes in group Ⅱ, the difference was statistically significant(P=0.041). Apparent IOL deviation was not observed in any eyes postoperatively in our study.

CONCLUSION: The foldable IOL ciliary sulcus suture fixation with small incision is an effective method for treatment of eyes without intact posterior capsule or lacking of zonular support. And it is worth popularizing widely.