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Many different approaches appear in the literature without any specific procedure achieving superior outcomes. Advantages and disadvantages vary between techniques. Common complications related to <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> fixation techniques were as follow: anterior chamber <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>: transient\/permanent corneal oedema (9\u201366.6%), uveitis (1.1\u201339.3%); iris\u2010fixated <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>: pupil ovalization (16\u201347.7%); and sutured scleral\u2010fixated <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content>: suture breakage\/exposure (6.1\u201311%), vitreous haemorrhage: (5.5\u201316.6%). In our retrospective case series, indications for surgery were postoperative aphakia in 50 eyes (49%), <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> dislocation in 38 eyes (37%) and natural lens dislocation in 15 eyes (14%). Scleral tunnels for haptic fixation were created with (28 eyes, 27.2%) or without (75 eyes, 72.8%) 25 gauge trocar cannulas. Complications included transient hypotony (<jats:italic>n<\/jats:italic>\u00a0=\u00a020; 19.4%), corneal decompensation (<jats:italic>n<\/jats:italic>\u00a0=\u00a07; 6.7%), <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> dislocation (<jats:italic>n<\/jats:italic>\u00a0=\u00a06; 5.8%), cystoid macular oedema (<jats:italic>n<\/jats:italic>\u00a0=\u00a05; 4.8%), vitreous haemorrhage (<jats:italic>n<\/jats:italic>\u00a0=\u00a04; 3.8%) and retinal detachment (<jats:italic>n<\/jats:italic>\u00a0=\u00a04; 3.8%). Mean best corrected visual acuity improved from log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> 0.65 to 0.36 at the final visit (p\u00a0=\u00a00.001). In conclusion, <jats:styled-content style=\"fixed-case\">SIS<\/jats:styled-content> fixation provides good anatomical and functional outcomes; however, complications can occur. The number of surgical approaches for <jats:styled-content style=\"fixed-case\">IOL<\/jats:styled-content> dislocation described in the literature indicates that optimal treatment remains to be found.<\/jats:p>","DOI":"10.1111\/aos.14307","type":"journal-article","created":{"date-parts":[[2019,12,2]],"date-time":"2019-12-02T20:10:22Z","timestamp":1575317422000},"page":"224-236","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":62,"title":["Sutureless intrascleral fixation using different three\u2010piece posterior chamber intraocular lenses: a literature review of surgical techniques in cases of insufficient capsular support and a retrospective multicentre study"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5709-391X","authenticated-orcid":false,"given":"Marcin Piotr","family":"Czajka","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Department of Clinical and 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