CHIEF COMPLAINTS:A 10 years old female patient with C/o Diminution of vision since 3years in both eyes.K/c/o Marfan’s syndrome, non consanguineous marriage. Family history:Marfan’s syndrome seen in father and grandfather.GPE:Tall and thin built with disproportionately long arms,legs, fingers and toes.A breastbone protruded outward or dips inward.High arched palate.SYSTEMIC EXAMINATION:CVS:S1S2 heard,2Decho:Normal study.OCULAR EXAMINATION:HCRT:central.Cover test:no movement,undercover(BE)moves out,on uncovering (BE)moves in Alternate cover test:(BE)moves in to take fixation.A/S:vision:(RE)6/60ph6/60nif (LE)CF-1mphCF-1m (BE)superotemporal sublaxated cataractous lens.SURGICAL PROCEDURE:(LE)Lens extraction+SFIOL(3 piece foldable IOL)under GA.RIGHT HAPTIC EXTERNALIZATION DONE,TUCKED IN SCLERAL POCKET.LEFT HAPTIC SULCUS PLACED. Follow up 1 week(LE) vision6/24,Inferior subluaxation of IOL noted.Second surgery:(LE)Exchange of IOL+SFIOL. RESULTS:(LE)Vision:6/12ph6/9 after 1 week.
Leave a Comment