By Inigo Jimenez-Alfaro Morote MD; Blanca Garcia Sandoval; Nicolas Alejandre Alba, MD; Maye Ariño Gutierrez, MD; Miguel Angel De La Fuente MD
    Cataract/Anterior Segment

    A 44-year-old woman presented with downward lens dislocation, crowding of the anterior chamber and mydriasis on her left eye. The right eye showed ectopia lentis with superior displacement of the lens. The patient had not been diagnosed with Marfan syndrome. To avoid a lens luxation into the anterior or the vitreous chamber, a intracapsular crystalline lens extraction was performed. The lens had a wide coloboma without any zonular support. After the lens extraction, an iris-fixated IOL was implanted.