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Surgical world premiere with LENSAR Femto LASER at the Augenklinik Bellevue - Marfan surgery in dislocated lens

Poster Details

First Author: D.Holland GERMANY

Co Author(s):                  

Abstract Details


The Marfan syndrome is a systemic feature of the connective tissue on the basis of a genetic mutation. It can autosomal dominant (70%) or as a new mutation (30%) occur. Symptoms include problems with the eye in particular dislocation of the lens and cataract. Because the eyes of marfan patients are very sensitive, it often leads to complications in the manual cataract treatment. The Author presents the first femto rhexis of a dislocated lens in marfan syndrom with the LENSAR system woldwide.


We demonstrate a case of a 23 year old male marfan patient and two female patients age 21 and 25 in the Augenklinik Bellevue, Kiel/Germany


Both the femto laser treatment and cataract surgery were performed by one surgeon. The capsule was opened with the femtosecond laser. Due to the juvenile age of the patient no fragmentation was performed and the lens aspirated without ultrasound energy. A capsular tension ring (Morcher type 1L 11 Diameter with 10-0 means Maprolen) was inserted and sutured to the sclera a the six o┬┤clock position. A hydrophilic single peace IOL was implanted over a 2,4mm limbal incision in the capsular bag.


In all three cases the capsulotomy with the laser could be performed without complications. Intra and postoperatively no adverse events occurred. The capsule could be removed without additional stress to the zonula. Visual acuity recovers quickly and refractive error e.g. lens induced myopia and astigmatism decreased.


The femto capsule opening of a dislocated lens in marfan syndrom is a gentle method. It offers the possibility of a standardized treatment option in this special disease. After this good experience we tend to perform surgical treatment in marfan patients earlier than before which results in better quality of vision.

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