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How far is observation allowed in patients with ectopia lentis?
1Department of Ophthalmology, Okayama University Medical School and Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama City, 700-8558 Japan.
Springerplus
|September 5, 2015
Summary
For children with ectopia lentis, observation is suitable if near visual acuity is 0.4 or better. This benchmark helps families decide on surgical intervention versus continued monitoring for lens dislocation.
Area of Science:
- Ophthalmology
- Genetics
Background:
- Ectopia lentis, or lens dislocation, management, especially in children, requires clear guidelines.
- Patient and family reluctance towards surgery necessitates defining observation benchmarks.
Purpose of the Study:
- To establish a benchmark for the duration of observation in pediatric ectopia lentis cases.
- To guide decisions regarding surgical intervention versus continued observation in children with ectopia lentis.
Main Methods:
- Retrospective review of 15 patients (14 children, 1 adult) with bilateral ectopia lentis over 5 years.
- Analysis of reasons for observation or surgical intervention, including diagnoses like Marfan syndrome and familial ectopia lentis.
Main Results:
- Observation continued in 9 patients (median age 9) due to good visual acuity (near and distant, or 0.4 near).
- Lensectomy performed in 6 patients (median age 9) due to poor visual acuity, optical axis compromise, or injury.
Conclusions:
- Near visual acuity of 0.4 or better serves as a benchmark for continuing observation in pediatric ectopia lentis.
- This finding aids in managing ectopia lentis when families are hesitant about surgical intervention.
Keywords:
25-gauge vitrectomy systemAphakiaChildrenClinical decisionEctopia lentisIntraocular lens implantationLensectomyMarfan syndromeObservationVisual acuity
