F. Vadala

Intraocular Lens Implantation in Marfan's Syndrome

PURPOSE To describe the results of the removal of ectopic lenses from patients with Marfans syndrome using the scleral fixation method. METHODS Intraocular lenses (IOLs) were implanted in six eyes affected by lens dislocation (ectopia lentis) using either the scleral fixation method (five eyes) or a silicone IOL in the capsular bag (one eye). Mean patient age ranged from 8-11 years and follow-up ranged from 7-20 months. RESULTS Functional success was obtained in all eyes. Postoperative visual acuity was 20/20 to 20/40. One patient showed a dislocation of the IOL in the anterior chamber. In three eyes, an opacification of the posterior capsule was treated using an Nd:YAG laser. CONCLUSION Intraocular lens implantation using the scleral fixation technique is the first choice in patients with Marfans syndrome because it reduces the complications of IOL decentration.