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Background  This paper describes a modified surgical technique for intraocular lens implantation in aphakic eyes with no capsular support.    Methods  Retrospective case series. Seventeen eyes of 17 aphakic patients with no capsule support underwent intraocular lens (IOL) implantation using a standardized technique in which a net was created at the ciliary sulcus plane with two threads forming a net pattern. The net was used as support for the IOL. Follow-up ranged from 6 to 38 months, with an average of 23 months.    Results  In all cases, the IOL was safely implanted and remained stable during the follow-up. In 16 eyes, the IOL remained well centered; in one eye, slight decentration was observed. Distance-corrected visual acuity improved by a mean of 4 lines, from 1.13 (LogMAR) to 0.52 (P = 0.01).    Conclusion  This technique might be especially useful in cases of insufficient capsular support associated with tissue loss or iris atrophy. In these cases, iris fixation is not feasible; thus, the only surgical alternative is IOL scleral fixation.    Electronic supplementary material  The online version of this article (doi:10.1186/s40942-017-0085-8) contains supplementary material, which is available to authorized users.

Net technique for intraocular lens support in aphakia without capsular support