To observe the clinical effects of trans-sceral suture fixation of intraocular lens for posterior capsular aphakia. METHODS:Akreos foldable IOL with one hole in each of four corners were used.The posterior IOL were implanted by suture fixation in ciliary sulcus in 43 cases (43 eyes). Postoperative follow-up lasted 10.4±1.7months. RESULTS:There was no significant intraoperative and postoperative complication. The best-corrected visual acuity was 0.05 or worse in 4 eyes (9.30%), 0.05 or better in 3 eyes (6.98%), 0.1 or better in 10 eyes(2326%), 0.3 or better in 13 eyes (30.23%), 0.5 or better in 13 eyes (30.23%) after operation. CONCLUSION:The trans-sceral suture fixation of Akreos foldable intraocular lens by two points and four loops of the lens is effective in eyes without capsular support.