Management of Ectopia Lentis in Children.
- Author:
Young Suk YU
1
;
Jae Yoon AWH
;
Jin Hak LEE
Author Information
1. Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Children;
Ectopia lentis;
Marfan syndrome;
Surgical methods;
Visual prognosis
- MeSH:
Child*;
Diagnosis;
Ectopia Lentis*;
Humans;
Korea;
Marfan Syndrome;
Medical Records;
Prognosis;
Retrospective Studies
- From:Journal of the Korean Ophthalmological Society
1999;40(7):1973-1978
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To know the causes and visual prognosis of ectopia lentis in children, medical records of 41 patients (82 eyes) were retrospectively analysed.The patients were divided into systemic disease-associated, simple, and familial types according to the causes and directions of lens deviation were compared.Surgical methods, pre-and post-operative corrected vision, and complications were investigated. The mean age at diagnosis was 45/12 years old. The decreased vision (87%) and the presence of family history (7.3%) werethe chief complaints on the first examination. According to the causes, 19patients had Marfan syndrome, 14 simple type, and 8 familial type respectively. The directions of lens deviation in Marfan syndrome were different from in simple and familial types. Surgical management have been per-formed in twenty-six patients (44 eyes) on the average 6years of age, and all but one showed an improvement of postoperative corrected vision. One eye presented a dyscoria as a complication. These results are the first report in Korea about the causes and the visual prognosis of ectopia lentis in children and may give us a reference for further management of these patients.
