|Year : 2022 | Volume
| Issue : 4 | Page : 1004
Dislocated trans scleral-fixated intraocular lens: Hanging man sign!
Nikhil Agrawal, Seema Meena, Kavita Bhatnagar, Kirti Jai Singh, Manjaree Tandon
Department of Ophthalmology, AIIMS, Jodhpur, Rajasthan, India
|Date of Web Publication||11-Oct-2022|
Room No 3116 AIIMS Academic Block, AIIMS, Jodhpur, Rajasthan
Source of Support: None, Conflict of Interest: None
|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 27];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. 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|
Click here to view
Flanged intrascleral fixation has gained popularity among surgeons as it offers the advantage of being sutureless and does not require the use of glue. 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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K. Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology 2017;124:1136-42.
Yamane S, Ito A. Flanged fixation: Yamane technique and its application. Curr Opin Ophthalmol 2021;32:19-24.