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Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 1004

Dislocated trans scleral-fixated intraocular lens: Hanging man sign!

Department of Ophthalmology, AIIMS, Jodhpur, Rajasthan, India

Date of Web Publication11-Oct-2022

Correspondence Address:
Nikhil Agrawal
Room No 3116 AIIMS Academic Block, AIIMS, Jodhpur, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_897_22

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How to cite this article:
Agrawal N, Meena S, Bhatnagar K, Singh KJ, Tandon M. Dislocated trans scleral-fixated intraocular lens: Hanging man sign!. Indian J Ophthalmol Case Rep 2022;2:1004

How to cite this URL:
Agrawal N, Meena S, Bhatnagar K, Singh KJ, Tandon M. Dislocated trans scleral-fixated intraocular lens: Hanging man sign!. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Nov 30];2:1004. Available from: https://www.ijoreports.in/text.asp?2022/2/4/1004/358193

A 10-year-old male underwent secondary flanged intrascleral fixation of intraocular lens (IOL) using modified Yamane technique a year ago.[1] However, the patient presented with sudden onset diminution of vision. On slit-lamp examination, there was dislocation of lens with one haptic still flanged to the sclera [Figure 1]a. On fundus examination, the lens was seen hanging in the vitreous cavity, and the retinal vessels beneath the lens were seen to be magnified [Figure 1]b.
Figure 1: (a) Bi-microscopic examination of the anterior segment shows flanged intrascleral haptic of intraocular lens (IOL) (arrow). (b) Dislocated IOL was seen in the vitreous cavity suspended from a flanged haptic, giving the appearance of a hanging man. The partially cauterized (arrowhead) end of another haptic could be seen lying in the vitreous cavity. Vessels beneath the lens are magnified due to the biconvex nature of the lens

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Flanged intrascleral fixation has gained popularity among surgeons as it offers the advantage of being sutureless and does not require the use of glue.[2] However, improper cauterization and technique may lead to late onset dislocation or subluxation of the lens.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K. Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology 2017;124:1136-42.  Back to cited text no. 1
Yamane S, Ito A. Flanged fixation: Yamane technique and its application. Curr Opin Ophthalmol 2021;32:19-24.  Back to cited text no. 2


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