Indian Journal of Ophthalmology - Case Reports

: 2022  |  Volume : 2  |  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

Correspondence Address:
Nikhil Agrawal
Room No 3116 AIIMS Academic Block, AIIMS, Jodhpur, Rajasthan

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;2:1004-1004

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 2023 Feb 6 ];2:1004-1004
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Full Text

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}

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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.


1Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K. Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology 2017;124:1136-42.
2Yamane S, Ito A. Flanged fixation: Yamane technique and its application. Curr Opin Ophthalmol 2021;32:19-24.