Dr. Mark Walsh has performed sutureless scleral tunnel IOL fixation in 11 pediatric patients with a variety of lenticular disorders. He has observed no complications so far, with a maximum follow-up of 4 years. Dr. Jonathan Prenner devised the technique for adults, but Dr. Walsh has made a few modifications for pediatric patients, which he demonstrates here in a 14-month-old child with aniridia, bilateral cataracts and congenital glaucoma. This patient was referred to him with a dislocated IOL following bilateral cataract surgery. Dr. Walsh prefers to use this technique in chilren who are aphakic, contact lens intolerant and without sufficient capsular support for traditional sulcus placement of a seondary IOL.