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Pseudoaccomodation with multifocal IOLs in paediatric Marfan's Syndrome: 3 years of experience

Poster Details

First Author: M.Fortunato ITALY

Co Author(s):    A. Turtoro   A. Menna   A. Ubaldi        

Abstract Details


to demonstrate the efficacy of sclerally fixed multifocal IOLs in restoring pseudoaccomodation in patients aged 6 to 14 years with Marfan's Syndrome




the Authors present a series of 18 eyes (9 patients, age range 6-14 years) with Marfan’s Syndrome which underwent secondary implantation of a flexible multifocal IOL (SOLEKO, FIL 65 Pvs, add). Only patients with BCVA ?8/10, normal papillary activity, clear media, normal fundus were included in the study. Previously all patients had undergone lensectomy for ectopia lentis.


From 2008 to 2011 18 eyes of children with Marfan’s Syndrome were implanted with a multifocal scleral fixation IOL. 1 year of follow-up: 21 eyes (61.1 %) had BCVA 10/10 (4 eyes , 22.2 % uncorrected; 7 eyes, 77.8 % with correction); 18 eyes (100%) had I for near; 3 eyes (16.6 %) had far BVCA 8/10 (AMBLIOPIA); only 2 eyes (11.1 %) belonging to the same patient presented post-operative tilting of the IOL towards the anterior chamber, treated with pilocarpine


in our opinion, multifocal scleral fixation IOLS in children with Marfan’s Syndrome permit an excellent visual recovery, both for near and far vision. FINANCIAL DISCLOSURE?: No

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