title: Intraocular lens subluxation in marfan syndrome.
abstract: OBJECTIVE
  Ectopia lentis (EL) is a major criteria for the diagnosis of Marfan syndrome, it may vary from an asymptomatic mild displacement to a significant subluxation that places the equator of the lens in the pupillary axis. The purpose of this work is to present the case of a patient with Marfan syndrome who received treatment for subluxation at our institution.
  
  
  METHODS
  A 51-year-old female diagnosed with Marfan syndrome presented to the emergency department with bilateral eye redness, foreign body sensation and crusting around the eyes on awakening. She had the following history of cardiac and ophthalmologic complications, including: 1. Lens subluxation 2. High myopia 3. Aortic root dilation, 4. Mitral valve prolapse and 5. Tricuspid insufficiency.
  
  
  CONCLUSIONS
  The ophthalmological management of Marfan patients is challenging and periodical follow-up is needed. Surgical versus conservative management is controversial, each case needs to be evaluated individually to analyze the risks and benefits of the procedures.
authors.affiliation: Department of Opthalmology, Regional Hospital Adolfo López Mateos, ISSSTE, Mexico City, Mexico ; Research Unit, Institute of Ophthalmology, Fundación Conde de Valenciana, Mexico City, Mexico.
authors.forename: Bolaños-Jiménez
authors.initials: BJ
authors.lastname: Rodrigo
authors.affiliation: Department of Anterior Segment, Institute of Ophthalmology, Fundación Conde de Valenciana, Mexico City, Mexico.
authors.forename: López-Lizárraga E
authors.initials: LL
authors.lastname: Paulina
authors.affiliation: Department of Vitreoretinal Surgery, Institute of Ophthalmology, Fundación Conde de Valenciana, Mexico City, Mexico ; Department of Anterior Segment, Dr. Luis Sánchez Bulnes Hospital, Asociación Para Evitar la Ceguera en México, Mexico City, Mexico.
authors.forename: March de R
authors.initials: Mde R
authors.lastname: Francesc
authors.affiliation: National Institute of Cardiology "Ignacio Chávez", Mexico City, Mexico.
authors.forename: Telich-Tarriba J
authors.initials: TT
authors.lastname: Eduardo
authors.affiliation: Department of Cornea and Refractive Surgery Institute of Ophthalmology, Fundación Conde de Valenciana, Mexico City, Mexico.
authors.forename: Navas
authors.initials: N
authors.lastname: Alejandro
keywords: Capsular tension ring; intraocular lens subluxation; zonular dyalisis; zonular instability.