Management of bilateral anterior dislocation of a lens in a child with Marfan's syndrome

J Cataract Refract Surg. 2003 Mar;29(3):609-13. doi: 10.1016/s0886-3350(02)01529-8.

Abstract

A 13-year-old boy with Marfan's syndrome presented with bilateral, acute, complete anterior dislocation of the crystalline lens. The lens substance was aspirated intracapsularly after 2 linear capsulotomies were created. The empty capsular bag was removed from the eye as a vitrectome was used to severe the adhesions between the capsule and vitreous face through 1 paracentesis and a forceps was used to pull the capsule through the other paracentesis. Aphakia was corrected by glasses and contact lenses. Two years after surgery, the best corrected visual acuity was 20/32 in both eyes.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aphakia, Postcataract / etiology
  • Aphakia, Postcataract / therapy
  • Contact Lenses
  • Ectopia Lentis / etiology*
  • Ectopia Lentis / surgery*
  • Eyeglasses
  • Humans
  • Male
  • Marfan Syndrome / complications*
  • Vitrectomy