PurposeThe aim of the study was to study the outcome of scleral fixation of intraocular lenses (IOL) using scleral tunnel in cases of inadequate capsular support using the two-point technique.The postoperative outcomes include IOL stability, centeration, and stitch exposure.Patients and methodsThis was a prospective randomized controlled study that included 25 eyes of 20 patients. Surgery was performed only when the IOL was posteriorly dislocated or sublaxated or in patients who were left aphakic for a secondary implantation procedure.A modification of the technique using scleral tunnel was carried out, which made the procedure faster, with good centeration and sutures coverage.ResultsThe mean follow-up after surgery was 9 months (5-13).IOL centeration: we classified centeration into three groups: group A included 21 patients (84%), group B included three patients (12%), and group C included one patient (4%). Stitch exposure was observed in three patients (12%). No cases of postoperative dislocation of the fixated IOL were observed.We did not include VA in the results because of different indications of the surgery that will affect the VA in every patient leading to incorrect results.One case of postoperative macular edema was treated with single intravitreal injection of triamcinolone, whereas one case of vitreous hemorrhage resolved spontaneously.No cases of retinal detachment were observed.ConclusionScleral fixation of IOL using scleral tunnel is a fast technique with adequate IOL centeration and suture coverage with minimal postoperative complications.