Managing a Subluxed Lens in Marfan Syndrome

In this 1-Minute Video, Dr. Jay Sridhar manages a subluxed crystalline lens in a patient with Marfan syndrome. The 10-year-old patient, who also had refractive amblyopia, was referred for worsening visual acuity that was not correctable with refraction and bilateral subluxed crystalline lenses. He underwent bilateral pars plana vitrectomy, lensectomy, 360-degree prophylactic endolaser and scleral-sutured IOL. The video highlights induction of posterior vitreous detachment, chandelier-assisted depressed shave of the vitreous base and suturing of an Akreos AO60 lens. By the 3-year follow-up, the patient was functioning well at school with 20/50 vision in both eyes.

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