Abstract: An implantable scleral suspension device for use with an intraocular lens, an artificial iris, or an implantable miniature telescope (IMT) in an eye. The device includes an elastic support structure having a central aperture extending through the support structure between an anterior surface of the support structure and a posterior surface of the support structure. The central aperture is defined by an inner perimeter surface. A plurality of fixation arms extend outward from the outer perimeter surface, each arm configured for sutureless scleral fixation and to be placed under tension to locate and stabilize the device within the eye. A thickness of the support structure along the inner perimeter surface defining the central aperture is greater than a thickness of the support structure near the outer perimeter surface. Related devices, systems, and methods are also provided.