Management of bilateral anterior dislocation of a lens in a child with Marfan's syndrome.
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.
Vasavada
Abhay R
AR
Iladevi Cataract & IOL Research Centre, Raghudeep Eye Clinic, Ahmedabad, India. shailad1@sancharnet.in
Praveen
M R
MR
Desai
Chirag
C
D000293:Adolescent; D001036:Aphakia, Postcataract / Q000209:etiology / Q000628:therapy; D003261:Contact Lenses; D004479:Ectopia Lentis / Q000209:etiology* / Q000601:surgery*; D005139:Eyeglasses; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D014821:Vitrectomy