Sutureless Prosthetic Capsular Bag Stabilizes Lenses in Eyes Without Zonular Support

Managing patients with a lack of capsular support requires complex reconstructive techniques to restore visual function and ocular anatomy [1, 2, 3]. Conditions such as severe ocular trauma or congenital anomalies frequently result in a complete loss of the zonular apparatus, leaving clinicians with few options for stable intraocular lens fixation [4, 5, 6]. While various suturing methods exist to address anterior segment dysgenesis (abnormal development of the front of the eye), these procedures are technically demanding and associated with long-term risks such as suture degradation or device displacement [7, 8, 9]. Current strategies often involve iris-fixated or scleral-sutured lenses, yet achieving predictable refractive outcomes in the absence of a stable capsular diaphragm remains a primary hurdle in secondary lens surgery [10]. To address this, a recent first-in-human investigation evaluates a sutureless strategy for establishing a secure intraocular lens platform using a scleral-fixated prosthetic capsular bag [11].