What is the best surgical approach for ectopia lentis in Marfan syndrome?

The surgical management of ectopia lentis (EL) in Marfan syndrome (MFS) represents a challenge to the ophthalmologist. We reviewed the literature on the surgical management of ectopia lentis in MFS patients from the classical pars plana lensectomy (PPL) to the most innovative scleral- and iris-fixat...

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Bibliographic Details
Published in:Revista mexicana de oftalmología 2015-10, Vol.89 (4), p.237-240
Main Authors: Groman-Lupa, Sergio, Santos-Cantú, Daniela, Quiroz-Mercado, Hugo
Format: Article
Language:English
Subjects:
Ectopia lentis
Intraocular lens
Marfan syndrome
Pars plana vitrectomy
Surgical management
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Summary:The surgical management of ectopia lentis (EL) in Marfan syndrome (MFS) represents a challenge to the ophthalmologist. We reviewed the literature on the surgical management of ectopia lentis in MFS patients from the classical pars plana lensectomy (PPL) to the most innovative scleral- and iris-fixated intraocular lens (IOL) surgical techniques. The results with the innovative approaches have been satisfactory but with a relatively short follow-up period and several complications associated, and the need of a highly experienced and skilled surgeon. We suggest that PPL approach with postsurgical aphakia is the safest surgical approach to ectopia lentis in MFS on a routinely basis.
ISSN:0187-4519
0187-4519
DOI:10.1016/j.mexoft.2015.05.015