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Retinal detachment surgery in Marfan's syndrome
1Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Retina (Philadelphia, Pa.)
|November 4, 1998
Summary
Retinal detachment surgery in Marfan syndrome patients yielded better outcomes than expected. High rates of bilateral detachment suggest prophylactic treatment for the fellow eye may be beneficial.
Area of Science:
- Ophthalmology
- Genetics
- Surgical Outcomes
Background:
- Retinal detachment is a recognized complication in Marfan syndrome.
- Limited data exists on surgical success rates for retinal detachment in Marfan syndrome patients.
Purpose of the Study:
- To evaluate the functional and anatomical results of retinal detachment surgery specifically in individuals with Marfan syndrome.
Main Methods:
- A retrospective chart review was conducted for Marfan syndrome patients who underwent retinal detachment surgery.
- Data was collected from 1983 to 1995 at King Khaled Eye Specialist Hospital.
Main Results:
- Sixteen eyes of 14 Marfan syndrome patients were surgically treated for retinal detachment.
- Successful reattachment was achieved in 75% of eyes (12/16), with 75% achieving visual acuity of 20/300 or better.
- Ectopic lenses were present in all cases, and retinal breaks were typically small, anterior horseshoe tears or holes.
Conclusions:
- Surgical repair of retinal detachment in Marfan syndrome demonstrates favorable outcomes, exceeding previous expectations.
- The high incidence of bilateral detachment (69%) supports consideration of prophylactic interventions for the unaffected eye.