title: Femtosecond laser-assisted cataract surgery in pediatric Marfan syndrome.
abstract: OBJECTIVE
  To report femtosecond laser-assisted cataract surgery in pediatric Marfan syndrome.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  A 10-year-old boy with ectopia lentis due to Marfan syndrome underwent femtosecond laser-assisted cataract surgery (Catalys Precision Laser System; OptiMedica, Sunnyvale, CA) under general anesthesia. Anterior capsulotomy was performed on the decentered lens. Routine irrigation/aspiration devices were used for lens and cortex removal. Centration of the capsular bag was achieved using a Cionni scleral fixation ring. A foldable intraocular lens was implanted. A free-positioned and precise sized capsulotomy was cut by the femtosecond laser. No intraoperative or postoperative complications were observed within the 10 weeks of follow-up.
  
  
  CONCLUSIONS
  The use of a femtosecond laser has potential to perform a circular, well-centered capsulotomy for subsequent capsular tension ring and intraocular lens implantation without decentration in patients with Marfan syndrome.
authors.affiliation: Ruhr University Eye Clinic, Bochum, Germany. tim.schultz@kk-bochum.de
authors.forename: Tim
authors.initials: T
authors.lastname: Schultz
authors.forename: Edak
authors.initials: E
authors.lastname: Ezeanosike
authors.forename: H Burkhard
authors.initials: HB
authors.lastname: Dick
mesh_terms: D002386:Cataract / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D002648:Child; D003315:Cornea / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity