Medical treatment of crystalline lens dislocation into the anterior chamber in a patient with Marfan syndrome.
We report the case of a 32-year-old male with spontaneous crystalline lens dislocation into the anterior chamber with corneal touch and increased intraocular pressure. The case was handled in a conservative way: before bringing the patient to supine position, pharmacological pupil dilation with tropicamide plus phenylephrine was performed. One drop was instilled every 15 min for 1 hour. Once the posterior displacement of the lens behind the iris was confirmed, 2 % pilocarpine was used to reverse pupil dilation. The patient remained on topical 2 % pilocarpine and 5 % sodium chloride solution.
Destellos de Luz non-profit foundation, Ruperto Martínez # 1317 Pte. Colonia Centro, Monterrey, NL, Mexico. dr.manuel.garza@gmail.com
Manuel
M
Garza-Leon
Paola
P
de la Parra-Colín
D000328:Adult; D000867:Anterior Chamber; D004359:Drug Therapy, Combination; D006801:Humans; D007906:Lens Subluxation / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008382:Marfan Syndrome / Q000150:complications* / Q000175:diagnosis; D008916:Miotics / Q000008:administration & dosage; D009883:Ophthalmic Solutions; D009887:Ophthalmoscopy; D010862:Pilocarpine / Q000008:administration & dosage*; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage*
D008916:Miotics; D009883:Ophthalmic Solutions; D012462:Saline Solution, Hypertonic; D010862:Pilocarpine