Intraocular lens implantation in Marfan's syndrome.
OBJECTIVE
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.


CONCLUSIONS
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.
Vadalà
P
P
Department of Ophthalmology, Bambino Gesù Children's Hospital, Rome, Italy.
Capozzi
P
P
Fortunato
M
M
DeVirgiliis
E
E
Vadalà
F
F
D001672:Biocompatible Materials; D002648:Child; D005260:Female; D005548:Foreign-Body Migration / Q000517:prevention & control; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007906:Lens Subluxation / Q000209:etiology / Q000601:surgery*; D007908:Lens, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D008382:Marfan Syndrome / Q000150:complications* / Q000601:surgery; D012590:Sclera / Q000601:surgery; D012826:Silicone Elastomers; D013536:Suture Techniques; D014792:Visual Acuity
D001672:Biocompatible Materials; D012826:Silicone Elastomers