AIM: To discuss the application and complications of ciliary sulcus suture fixation of posterior chamber in secondary intraocular lens(IOL)implantation after rupture of the ligament and posterior capsule, and posterior capsular surgeries in aphakic eyes including traumatic cataract, dislocation of the lens, etc.

METHODS: From February 2007 to November 2012, 31 patients(32 eyes)were received suture fixation of posterior chamber IOL implantation in our department and got satisfactory results.

RESULTS: The corrected visual acuity was >0.5 in 9 eyes(28%), 0.1-0.5 in 17 eyes(53%), and <0.1 in 6 eyes(19%)from 3 months to 1 year after operation. The main complications included bleeding from the puncture site of ciliary body, postoperative corneal edema, corneal astigmatism, loose or parted suspending suture, and IOL dislocation, etc.

CONCLUSION: The suture fixation of posterior chamber IOL implantation is the first operation choice currently for eyes without posterior capsule or eyes with severe defects of posterior capsular lens suspensory ligament, but many complications in the operation need to be solved.