• Should I have laser surgery to prevent a possible retinal tear due to my Marfan syndrome?


    Question:

    I have Marfan syndrome and my doctor is recommending I have laser retinopexy done as a prevention so my retina doesn't tear. Does this preventive surgery make sense and have you heard it recommended before?


    Answer:

    As you know, Marfan syndrome is a genetic disorder that affects the body’s connective tissue and can affect many parts of the body, including the eye. Marfan’s most common effect on the eye is dislocation of your eye’s clear natural lens, which can lead to blurred vision. In addition, retinal detachment, separation of the retina from its supporting layers in the back of the eye, is associated with Marfan’s, but is much less common than lens dislocation. In general, laser retinopexy (when laser is used to seal the retina to the back of the eye) to prevent retinal detachment is only recommended if there are other retina changes that may increase the risk of retinal detachment, such as lattice degeneration. However, each patient (and each eye) must be evaluated with respect to the specific risks.


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