Intraocular lens implantation in Marfan's syndrome.

Abstract

PURPOSE:

To describe the results of the removal of ectopic lenses from patients with Marfan's syndrome using the scleral fixation method.

METHODS:

Intraocular lenses (IOLs) were implanted in six eyes affected by lens dislocation (ectopia lentis) using either the scleral fixation method (five eyes) or a silicone IOL in the capsular bag (one eye). Mean patient age ranged from 8-11 years and follow-up ranged from 7-20 months.

RESULTS:

Functional success was obtained in all eyes. Postoperative visual acuity was 20/20 to 20/40. One patient showed a dislocation of the IOL in the anterior chamber. In three eyes, an opacification of the posterior capsule was treated using an Nd:YAG laser.

CONCLUSION:

Intraocular lens implantation using the scleral fixation technique is the first choice in patients with Marfan's syndrome because it reduces the complications of IOL decentration.

• Authors: P Vadalà, P Capozzi, M Fortunato, E DeVirgiliis, F Vadalà
• Journal: Journal of pediatric ophthalmology and strabismus (J Pediatr Ophthalmol Strabismus) 2000 Jul-Aug Vol. 37 Issue 4 Pg. 206-8 ISSN: 0191-3913 [Print] United States
• PMID: 10955542 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Biocompatible Materials
• Silicone Elastomers

Topics

• Biocompatible Materials
• Child
• Female
• Foreign-Body Migration (prevention & control)
• Humans
• Lens Implantation, Intraocular (methods)
• Lens Subluxation (etiology, surgery)
• Lens, Crystalline (surgery)
• Lenses, Intraocular
• Male
• Marfan Syndrome (complications, surgery)
• Sclera (surgery)
• Silicone Elastomers
• Suture Techniques
• Visual Acuity