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

Sergio Groman-Lupa | Zendy; Daniela Santos-Cantú | Zendy; Hugo Quiroz-Mercado | Zendy

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

Author(s) -

Sergio Groman-Lupa,

Daniela Santos-Cantú,

Hugo Quiroz-Mercado

Publication year - 2015

Publication title -

revista mexicana de oftalmología

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.129

H-Index - 6

eISSN - 2604-1227

pISSN - 0187-4519

DOI - 10.1016/j.mexoft.2015.05.015

Subject(s) - ectopia lentis , medicine , aphakia , pars plana , marfan syndrome , ophthalmology , intraocular lens , surgery , vitrectomy , visual acuity

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

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