Transscleral IOL Fixation With Preserved Anterior Vitreous Face in Marfan Syndrome With Ectopia Lentis.
10.3341/jkos.2009.50.8.1174
- Author:
Hae Won CHOI
1
;
Eun Hee KIM
;
Wan Soo KIM
Author Information
1. Department of Ophthalmology, Maryknoll Hospital, Busan, Korea. wansookim@yahoo.com
- Publication Type:Original Article
- Keywords:
Ectopia Lentis;
Marfan syndrome;
Transscleral IOL Fixation
- MeSH:
Ectopia Lentis;
Eye;
Follow-Up Studies;
Humans;
Intraocular Pressure;
Lenses, Intraocular;
Marfan Syndrome;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2009;50(8):1174-1178
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the safety and efficacy of transscleral intraocular lens (IOL) fixation while preserving the anterior vitreous face in treating ectopia lentis of Marfan syndrome. METHODS: This study included six patients (12 eyes) who had undergone surgical intervention for ectopia lentis with or without lenticular opacity. We compared the best-corrected visual acuity (BCVA) before and after the surgery and evaluated perioperative complications. RESULTS: The mean age at the time of surgery was 18.2+/-10.7 years. The mean follow-up period was 11.2+/-7.1 months. Mean BCVA scores changed from 0.96+/-0.37 (LogMar Value) to 0.14+/-0.17 (LogMar Value). All patients showed more than two lines of improvement in visual acuity. In two eyes, pupillary capture was found. Medically controllable intraocular pressure elevation was found in three eyes. CONCLUSIONS: This study suggests that transscleral IOL fixation with a preserved anterior vitreous face can be a safe and effective technique in treating the ectopia lentis of Marfan syndrome.
