Scleral fixation? Where are we?

Correction of surgical aphakia with spectacles or contact lenses have some limits such as image size disparity, “pincushion” distortion, ring scotoma, and altered spatial perception, and implanting an intraocular lens (IOL) provides many advantages over both of these methods. There is yet no established consensus on the best IOL fixation technique in the absence of adequate capsular support. Options include anterior chamber IOLs (AC-IOLs) and suture fixated (SF) or sutureless posterior chamber lens implants(PC-IOLs).