{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:36Z","timestamp":1787762016443,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>The high prevalence of mature, hypermature, and traumatic cataracts in developing countries, combined with the limited availability of surgical resources and skill by anterior segment surgeons to manage the resultant aphakia, leaves the patient needlessly blind. Relying on posterior segment surgeons, expensive surgical setup, and appropriate lenses for aphakia management limits the number of patients receiving a secondary intraocular lens (IOL). Utilizing the well-acknowledged flanging technique and the readily available polymethyl methacrylate (PMMA) lenses with dialing holes in their optic, a hammock can be created through the dialing holes using a 7-0 polypropylene suture on a straight needle. This 4-flanged scleral fixation through the dialing hole of an IOL makes scleral fixation of PMMA lens possible by even anterior segment surgeons without requiring any specialized equipment or scleral fixated lens with eyelet. This technique was successfully performed in a series of 103 cases with no incidence of IOL decentration.<\/jats:p>","DOI":"10.4103\/ijo.ijo_2906_22","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T14:03:09Z","timestamp":1688565789000},"page":"2897-2900","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["4-Flanged intrascleral fixation of an intraocular lens through the dialing hole"],"prefix":"10.4103","volume":"71","author":[{"given":"Vellam R","family":"Vivekanandan","sequence":"first","affiliation":[{"name":"Cataract and IOL Services, Aravind Eye Hospital, Thavalakuppam, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sivagami","family":"Nachiappan","sequence":"additional","affiliation":[{"name":"General Ophthalmology, Aravind Eye Hospital, Thavalakuppam, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merlin","family":"Benzy","sequence":"additional","affiliation":[{"name":"Cataract and IOL Services, Aravind Eye Hospital, Thavalakuppam, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamalai","family":"Odayappan","sequence":"additional","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Thavalakuppam, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rengaraj","family":"Venkatesh","sequence":"additional","affiliation":[{"name":"Chief Medical Officer, Glaucoma Services, Aravind Eye Hospital, Thavalakuppam, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1016\/j.jcrs.2010.05.025","article-title":"Phacoemulsification versus manual small-incision cataract surgery for white cataract","volume":"36","author":"Venkatesh","year":"2010","journal-title":"J Cataract Refract Surg"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1097\/ICU.0b013e3282f2aaed","article-title":"Cataract surgery and intraocular lens manufacturing in India","volume":"19","author":"Aravind","year":"2008","journal-title":"Curr Opin Ophthalmol"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"173","DOI":"10.4103\/0301-4738.16675","article-title":"Manual small incision cataract surgery in eyes with white cataracts","volume":"53","author":"Venkatesh","year":"2005","journal-title":"Indian J Ophthalmol"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.ophtha.2017.03.036","article-title":"Flanged intrascleral intraocular lens fixation with double-needle technique","volume":"124","author":"Yamane","year":"2017","journal-title":"Ophthalmology"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1097\/ICO.0000000000002185","article-title":"Four-flanged intrascleral intraocular lens fixation technique: No flaps, no knots, no glue","volume":"39","author":"Canabrava","year":"2020","journal-title":"Cornea"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1016\/j.jcrs.2007.07.013","article-title":"Sutureless intrascleral posterior chamber intraocular lens fixation","volume":"33","author":"Gabor","year":"2007","journal-title":"J Cataract Refract Surg"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.jcrs.2008.04.040","article-title":"Fibrin glue\u2013assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules","volume":"34","author":"Agarwal","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.ophtha.2013.08.043","article-title":"Sutureless 27-gauge needle guided intrascleral intraocular lens implantation with lamellar scleral dissection","volume":"121","author":"Yamane","year":"2014","journal-title":"Ophthalmology"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.jcrs.2013.11.003","article-title":"Simplified and safe method of sutureless intrascleral posterior chamber intraocular lens fixation: Y-fixation technique","volume":"40","author":"Ohta","year":"2014","journal-title":"J Cataract Refract Surg"},{"key":"R10-20240828","doi-asserted-by":"crossref","first-page":"747","DOI":"10.4103\/ijo.IJO_296_17","article-title":"Extraocular needle- guided haptic insertion technique of scleral fixation intraocular lens surgeries (X-NIT)","volume":"65","author":"Baskaran","year":"2017","journal-title":"Indian J Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2906_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:11:33Z","timestamp":1787760693000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_2906_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":10,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_2906_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2022-11-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}