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Arquivos Brasileiros de Oftalmologia
Vol 67 - N 1 - 2004

Conduta cirúrgica na subluxação do cristalino
Surgical approach to the subluxated lens Nórton Souto Severo, Fabíola Kleinert, Sérgio Kwitko
Purpose: To evaluate 10 cases of subluxated lens due to trauma or Marfan syndrome, focussing on their treatment and the results. Methods: Ten eyes of 9 patients were operated on due to lens subluxation. Six eyes were due to trauma and 4 eyes to Marfan syndrome. The mean age was 48.9 ± 18.2 years, and the follow-up period of 34.6 ± 11.6 months. Patients were submitted to intracapsular lens extraction (1 eye), extracapsular lens extraction (1 eye), phacoemulsification without IOL (1 eye), and phaco- emulsification with IOL (7 eyes). Endocapsular rings were used in 7 eyes. Results: Best-corrected visual acuity improved in all patients, except for one, who had a regmatogeneous retinal detachment, 20 days after surgery. Conclusion: Lens extraction with IOL implantation in subluxated lens patients has a good prognosis, especially with phacoemulsification and endocapsular rings. With this approach, we were able to improve visual acuity and life quality in 90% of the cases.