Dr.GITANJLI SOOD

Dr. RAMANUJ SAMANTA, Dr. AJAI AGRAWAL

Abstract

A 15‐year‐old girl presented for evaluation of right eye exotropia since childhood. Ocular examination revealed best‐corrected visual acuity of 20/40 in both eyes with high myopic correction; alternate divergent strabismus (40°) with left eye predominant fixation and ectopia lentis in opposite quadrants. Fundus showed tessellated appearance with lattice degeneration. Physical examination revealed increased arm span to height ratio (1.052), decreased body upper to lower segment ratio (0.77), pectus carinatum and other clinical features compatible with Marfan Syndrome (MFS). Echocardiography revealed aortic root dilatation. She was diagnosed as ectopia lentis associated with MFS. Due to good visual acuity, she was kept under close ophthalmological follow‐up and referred to cardiology for immediate management. The index report demonstrates an unusual ocular presentation (opposite lens subluxation in same individual) in a patient of MFS, which is rarely reported in literature.