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Arch Ophthalmol. 1996 Sep;114(9):1058-61.

Management of ectopia lentis in a family with Marfan syndrome.

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  • 1Department of Ophthalmology, Eye Institute, Medical College of Wisconsin, Milwaukee.

Abstract

OBJECTIVE:

To determine the effectiveness of combined pars plana vitrectomy-lensectomy and open-loop anterior chamber lens implantation for the management of ectopia lentis associated with Marfan syndrome.

METHODS:

Retrospective review of the medical records of 4 consecutive patients with Marfan syndrome who underwent combined pars plana lensectomy-vitrectomy and anterior chamber lens implantation at our institution between August 1994 and July 1995.

RESULTS:

All patients demonstrated postoperative visual acuity of 20/25 or better during an average follow-up period of 6 months (range, 4-9 months). Two patients developed pseudophakic pupillary block and required YAG laser iridotomy postoperatively.

CONCLUSIONS:

Pars plana lensectomy-vitrectomy and anterior chamber intraocular lens implantation appears to be an excellent technique for the management of ectopia lentis associated with Marfan syndrome. A bimanual, closed-system endosurgical technique avoids many of the complications previously associated with surgery for ectopia lentis.

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PMID:
8790089
[PubMed - indexed for MEDLINE]
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