title: Femtosecond Laser-assisted Cataract Surgery in Patients With Marfan Syndrome and Subluxated Lens.
abstract: OBJECTIVE
  To report femtosecond laser-assisted cataract surgeries in patients with Marfan syndrome with mild, moderate, and severe lens subluxation.
  
  
  METHODS
  Case reports.
  
  
  RESULTS
  Two patients with Marfan syndrome underwent femtosecond laser-assisted cataract surgery (Alcon LenSx Lasers Inc., Aliso Viejo, CA). One patient had a mild lens subluxation in one eye and a moderate lens subluxation in the fellow eye. The other patient had a severe lens subluxation in one eye. In all eyes, the laser was able to perform a circular and free-floating anterior capsulotomy and lens fragmentation. In two of the eyes it was also helpful in decreasing corneal astigmatism by making corneal intrastromal relaxing incisions. There were no postoperative complications.
  
  
  CONCLUSIONS
  Femtosecond laser-assisted cataract surgery is an effective approach for cataract surgery in patients with Marfan syndrome with mild, moderate, and even severe lens subluxation, with the benefits of causing minimal further zonular damage and being able to treat corneal astigmatism with relaxing incisions.
authors.forename: Armando S
authors.initials: AS
authors.lastname: Crema
authors.forename: Aileen
authors.initials: A
authors.lastname: Walsh
authors.forename: Iris S
authors.initials: IS
authors.lastname: Yamane
authors.forename: Bruna V
authors.initials: BV
authors.lastname: Ventura
authors.forename: Marcony R
authors.initials: MR
authors.lastname: Santhiago
mesh_terms: D000328:Adult; D057866:Anterior Capsule of the Lens / Q000601:surgery*; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D006801:Humans; D053685:Laser Therapy; D019654:Lens Implantation, Intraocular; D007906:Lens Subluxation / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008382:Marfan Syndrome / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D012029:Refraction, Ocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology