Sahu Sabin, Yadav Reena, Gupta Sharad, Raj Puri Lila
Sagarmatha Choudhary Eye Hospital, Lahan, Nepal.
GMS Ophthalmol Cases. 2016 Dec 5;6:Doc14. doi: 10.3205/oc000051. eCollection 2016.
A rare case of bilateral ectopia lentis with isolated lens coloboma in Marfan syndrome is reported. A 21-year-old female presented with decreased vision in both eyes. Her unaided visual acuity was 20/200 and 20/400 in the right and left eye, respectively, improving to 20/40 with -4.5 DS/-3.0 DC x 10° correction in the right eye and 20/80 with -10.0 DS/-6.5 Dc x10° correction in the left eye. On slit lamp examination under mydriasis, both eyes revealed ectopia lentis with lens coloboma and stretched zonules. Fundus examination revealed pigmentary changes at the fovea. On systemic evaluation, she was diagnosed with Marfan syndrome. She was prescribed a refractive correction in form of a contact lens and kept under observation.
报告了一例马凡综合征伴双侧晶状体异位和孤立性晶状体缺损的罕见病例。一名21岁女性双眼视力下降。她的右眼和左眼裸眼视力分别为20/200和20/400，右眼经-4.5DS/-3.0DC×10°矫正后视力提高到20/40，左眼经-10.0DS/-6.5Dc×10°矫正后视力提高到20/80。散瞳下裂隙灯检查显示双眼晶状体异位伴晶状体缺损和悬韧带拉长。眼底检查发现黄斑区色素改变。经全身评估，她被诊断为马凡综合征。她被处方佩戴隐形眼镜进行屈光矫正并接受观察。
