The authors retrospectively studied the clinical records of 15 eyes without posterior capsular support receiving transscleral ciliary sulcus fixation of posterior chamber intraocular lenses. Postoperative followup period range from 2 weeks to 8 months, an average of 2.2 months. Postoperative visual acuity improved in all patients, 20% of which had 0.6 or better and 40%-between 0.2 and 0.5. Lens rotation was the primary complication and accounted for poor acuity in some cases. The results indicate that ciliary sulcus fixation in the absence of posterior capsular support appears to be safe and effective and may represent a significant advance in anterior segment surgery.