Sarath S*, Neha Sandhu and Akshaya Balaji

Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

*Corresponding Author: Sarath S, Senior Project Officer, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India.

Received: December 06, 2023; Published: January 10, 2024

Abstract

To present a rare morphological and asymmetric pattern of cataractous subluxated lens in Marfans syndrome. A unique fish-like lens configuration is a newly reported morphological pattern. Despite the absence of a significant history of ocular trauma, the patient underwent sequential bilateral cataract surgery with scleral fixation of a multipiece intraocular lens at a 6-week interval, resulting in a best-corrected visual acuity of 6/9 in both eyes. This case highlights the occurrence of bilateral lens subluxation in a Marfan syndrome patient, leading to a distinctive fish-like configuration of cataractous changes with asymmetry. The absence of significant trauma emphasizes the multifactorial nature of ocular manifestations in Marfan syndrome. The successful management through sequential cataract surgery with scleral fixation suggests the importance of tailored surgical interventions in such cases.

Keywords: Marfan Syndrome; Ectopia Lentis Piscis; Presenile Cataract; Lens Subluxation, Genetic

References

1. Bhayana Amber A., et al. “Amalgamation cataract”. Indian Journal of Ophthalmology - Case Reports2 (2023): 614.
2. Bhayana Amber A., et al. ““Zorbing ball” cataract”. Indian Journal of Ophthalmology - Case Reports1 (2023): 308.
3. Lidal IB., et al. “A scoping review presenting a wide variety of research on paediatric and adolescent patients with Marfan syndrome”. Acta Paediatrics9 (2020): 1758-1771.
4. Shah S., et al. “Clinical profile and outcome of ocular manifestation in Marfans syndrome in India”. Indian Journal of Ophthalmology 2 (2022): 626-629.

Citation

Citation: Sarath S. “Ectopia Lentis Piscis – A Subluxated Human Lens with Complex Cortical and Nuclear Cataract Simulating a Fish Like Configuration".Acta Scientific Ophthalmology 7.2 (2024): 30-31.

Copyright

Copyright: © 2024 Sarath S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.