Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Combined capsular tension ring and phacoemulsification in a moderate subluxated lens of a Marfan syndrome case

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Session Details

Session Title: Presented Poster Session: Pre/post-op special cases

Session Date/Time: Sunday 11/09/2016 | 15:00-16:30

Paper Time: 15:40

Venue: Poster Village: Pod 1

First Author: : F.Manurung INDONESIA

Co Author(s): :    T. Gondhowiardjo              

Abstract Details


Surgical management of ectopia lentis in Marfan syndrome (MFS) represents a challenge to the ophthalmologist, especially if Cionni ring is not available. We present the management of a moderate subluxated lens of a MFS case with capsular tension ring (CTR) and lens aspiration.


A case report of a patient with a clinical diagnosis of MFS in Jakarta Eye Center, Indonesia


An 8-year-old girl with MFS presented with a progressive decrease in her vision and glare. Her visual acuity (VA) on her right eye (RE) was 1.5 finger counting (no correction could be found) and VA on left eye was 0.6 (correction: cyl - 3.0 D x 180). Slitlamp examination revealed deep anterior chamber and a small amount of vitreous on her RE. Both lens was subluxated upward and nasally but right lens was more severe. A clear lens aspiration on her RE was performed followed by insertion of a CTR and an intraocular lens was implanted inside the bag.


The surgery went uneventful and her post operative course was unremarkable with improvement in her visual function on her right eye 0.4 (correction: cyl- 1.00 x 5). Cornea was clear and fundus was normal. The IOL was slightly decentered but stable.


Timing of surgery in children with ectopia lentis is critical. Children who are in their visually formative years, need early surgery if they have a large amount of subluxation. In situation where Cionni ring is not available, surgery should be considered in moderate subluxated lens with CTR only. However, further follow-up is needed to asses long-term evolution of zonular instability.

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