medigraphic.com
Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2007, Number 6

<< Back Next >>

Rev Mex Oftalmol 2007; 81 (6)

Manejo quirúrgico de ectopia lentis en síndrome de Marfan

Macías MJ, Arroyo MLL, Lozano AJ

Language: Spanish
References: 10
Page: 332-335
PDF size: 59.26 Kb.


ABSTRACT

The ocular manifestations of Marfan syndrome include: Lens subluxation (ectopia lentis), axial myopia, lens myopia and monocular diplopia. The surgery is indicated when optic correction by other means is impossible.
Objective: To describe the surgical results of lens subluxation in Marfan syndrome.
Methods: Complete ophthalmic and morphological explorations were performed. Patients underwent facoaspiration under general anesthesia and implantation of a capsular tension ring of Morcher (luxations more than a third).
Results: 7 eyes of 4 patients were operated, 2 females, 2 males, with range of 6 to 15 years. The visual capacity went from 20/25 to 20/80, 5 lens showed discreet descentration respecting visual axis, a ring of capsular tension was mounted on the optics of the intraocular lens, one case presented retina detachment, and one case showed opacity of later capsule that was treated with surgical capsulotomy.
Conclusions: The implant of intraocular lens, with trans scleral fixation and conserving the capsule, diminishes the risk of vitreodonesis, responsible for retinal detachment. In the present revision we confirm this hypothesis.


REFERENCES

  1. American Academy of Ophthalmology. Basic and Clinical Science Course: Section 11, Lens and Cataract, 2001-2002, 37-38.

  2. Vadala P, Capozzi P, Fortunato M, DeVirgiliis E, Vadala F. Intraocular Lens Implantation in Marfan’s Syndrome. J Ped Ophthal Strab 2000; 37:206-208.

  3. Siganos DS, Siganos CS, Popescu CN, Margaritis VN. Clear lens extraction and intraocular lens implantation in child with Marfan’s syndrome. J Cataract Refract Surg 2000; 26:781-784.

  4. Johnston RL, Charteris DG, Horgan SE, Cooling RJ. Combined Pars Plana Vitrectomy and Sutured Posterior Chamber Implant. Arch Ophthalmol 2000; 118:905-910.

  5. Menapace R, Findl O, Georgopoulos M. The capsular tensión ring: designs, applications, and techniques. J Cataract Refract Surg 2000; 26:898-912.

  6. Cionni RJ, Osher RH. Management of profound zonular dialysis or weakness with a new endocapsular ring designed for scleral fixation. J Cataract Refract Surg 1998; 24:1299-1306.

  7. Soosan J, Agarwal A, Agarwal A. Efficacy of capsular tension ring for phacoemulsificación in eyes with zonular dialysis. J Cataract Refract Surg 2003; 29: 315-321.

  8. Kohnen T, Baumeister M, Buhren S. imaging of bilateral foldable in the bag intraocular lens implantation assisted by a Scleral-sutured capsular tensión ring in Marfan’s syndrome. J Cataract Refract Surg 2003; 29:598-602.

  9. Gimbel H, Ran S. Clinical application of capsular tension Rings in Cataract Surgery. Ophthalmic Surg Lasers 2002; 33:44-53.

  10. Lee DH, Lee H-Y, Lee KH. Effect of a Capsular tension ring on the shape of the capsular bag and opening and the intraocular lens. J Cataract Refract Surg 2001; 27: 452-452.




2020     |     www.medigraphic.com