TY - JOUR
T1 - Monoscleral fixation of IOL after extracapsular extraction of subluxated lenses in patients with Marfan syndrome
AU - Ghanem, Vinícius Coral
AU - Ghanem, Emir Amin
AU - Ghanem, Ramon Coral
AU - Arieta, Carlos Eduardo Leite
PY - 2004
Y1 - 2004
N2 - Purpose: To describe a technique of monoscleral fixation of the intraocular lens (IOL) after extracapsular extraction of subluxated lens in patients with Marfan syndrome. Design: Noncomparative, interventional case series. Methods: A retrospective study was conducted on 14 eyes of 7 consecutive patients with subluxated lens associated with Marfan syndrome. Surgery was indicated when: 1) a lens border was observed in the pupil area with the pupil under normal lighting causing glare; or 2) the best corrected visual acuity was less than 20/70; or 3) the patient complained of monocular diplopia. Patients with a history of glaucoma, retinal detachment, trauma or other systemic diseases were excluded. Results: The mean postoperative follow-up was 15.43 ± 9.33 months (range, 6 to 30 months). The best spectacle-corrected visual acuity varied from 20/25 to 20/60, where 71.43% reached 20/30 or better. No case showed a worsening of visual acuity, nor were there any intraoperative or postoperative complications (intraocular lens decentration, pupilar block, glaucoma or retinal detachment). The most frequent postoperative complication was astigmatism, observed in 3 eyes (21.43%) presenting values greater than 1.5 D. Conclusions: This technique showed very good surgical and visual results and few complications, providing a surgical option for cases of ectopia lentis associated with Marfan syndrome, especially in some countries or regions where phacoemulsification is not available.
AB - Purpose: To describe a technique of monoscleral fixation of the intraocular lens (IOL) after extracapsular extraction of subluxated lens in patients with Marfan syndrome. Design: Noncomparative, interventional case series. Methods: A retrospective study was conducted on 14 eyes of 7 consecutive patients with subluxated lens associated with Marfan syndrome. Surgery was indicated when: 1) a lens border was observed in the pupil area with the pupil under normal lighting causing glare; or 2) the best corrected visual acuity was less than 20/70; or 3) the patient complained of monocular diplopia. Patients with a history of glaucoma, retinal detachment, trauma or other systemic diseases were excluded. Results: The mean postoperative follow-up was 15.43 ± 9.33 months (range, 6 to 30 months). The best spectacle-corrected visual acuity varied from 20/25 to 20/60, where 71.43% reached 20/30 or better. No case showed a worsening of visual acuity, nor were there any intraoperative or postoperative complications (intraocular lens decentration, pupilar block, glaucoma or retinal detachment). The most frequent postoperative complication was astigmatism, observed in 3 eyes (21.43%) presenting values greater than 1.5 D. Conclusions: This technique showed very good surgical and visual results and few complications, providing a surgical option for cases of ectopia lentis associated with Marfan syndrome, especially in some countries or regions where phacoemulsification is not available.
KW - Cataract extraction
KW - Ectopia lentis
KW - Intraocular lens implantation
KW - Marfan syndrome
KW - Ophthalmologic surgical procedures
UR - http://www.scopus.com/inward/record.url?scp=33846781080&partnerID=8YFLogxK
U2 - 10.1590/S0004-27492004000500013
DO - 10.1590/S0004-27492004000500013
M3 - Artículo
AN - SCOPUS:33846781080
SN - 0004-2749
VL - 67
SP - 763
EP - 767
JO - Arquivos Brasileiros de Oftalmologia
JF - Arquivos Brasileiros de Oftalmologia
IS - 5
ER -