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Vitrectomy and fragmatome lensectomy with scleral-fixated intraocular lens (carlevale) placement in an 8-year-old patient with bilateral ectopia lentis associated with Marfan syndrome

Poster Details


First Author: A.Karamaounas GREECE

Co Author(s): P. Petrou   E. Papakonstantinou   A. Sideri   I. Georgalas   D. Papaconstantinou        

Abstract Details

Purpose:

To present a case of vitrectomy and fragmatome lensectomy with scleral-fixated intraocular lens (IOL) placement, in an 8-year-old boy with bilateral Ectopia Lentis associated with Marfan Syndrome.

Setting:

1st Department of Ophthalmology, National and Kapodistrian University of Athens, G. Gennimatas Hospital

Methods:

Case presentation. An 8-year-old boy diagnosed with Marfan syndrome, presented with bilateral superotemporal crystalline lens dislocation. He underwent vitrectomy, fragmatome lensectomy and scleral-fixated IOL (Carlevale) placement in the right eye.

Results:

The surgery was uncomplicated. Three months postoperatively the IOL was centrally fixated, intraocular pressure was 15mmHg, visual acuity was 9/10 unaided and fundus examination was unremarkable.

Conclusions:

Removal of the dislocated lens combined with vitrectomy and scleral-fixated IOL placement, though challenging surgically, was a viable alternative to treat Marfan syndrome associated ectopia lentis, with excellent postoperative results and no intraoperative or immediate postoperative complications.

Financial Disclosure:

None

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