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Combined cataract surgery on a Marfan-syndrome patient (case report)
Insights
This case report details a successful combined surgery for an ectopic lens in a 10-year-old with Marfan syndrome, utilizing a Cionni ring and posterior capsulorhexis. The innovative technique offers a viable solution for this rare pediatric ophthalmic condition.
Area of Science:
- Ophthalmology
- Genetics
Background:
- Marfan syndrome frequently causes lens subluxation, posing surgical challenges.
- Ectopic lenses in pediatric patients require specialized surgical approaches.
Observation:
- A 10-year-old girl with Marfan syndrome presented with an ectopic lens.
- Combined cataract surgery involved a Cionni capsular tension ring, scleral fixation, and primary posterior capsulorhexis.
Findings:
- The surgical approach successfully addressed the ectopic lens in the pediatric Marfan syndrome patient.
- Anterior vitrectomy was performed through the posterior capsulorhexis for artificial lens implantation.
Implications:
- This case highlights a successful and potentially beneficial surgical technique for ectopic lenses in pediatric Marfan syndrome.
- The described method may offer a valuable alternative for managing rare ophthalmic complications in Marfan syndrome.
Abstract:
Combined cataract surgery of an ectopic lens was performed on a 10 years old girl with Marfan-syndrome. A Cionni capsular tension ring was implanted into the capsular bag, and the bag was pulled to its place and fixed with a scleral suture. Because of the young age of the patient a primary posterior capsulorhexis was performed, through which anterior vitrectomy was carried out and the artificial lens was implanted into the capsular bag. In the literature several surgical solutions are advised for the treatment of the ectopic lens in patients with Marfan-syndrome. We have performed a successful surgery combined with posterior capsulorhexis in our case. Because of its rarity and special surgical solution, we think this case report is interesting and can be helpful in such cases to be published.
