Long-term follow-up after scleral lens fixation in patients with Marfan syndrome

Long-term follow-up after scleral lens fixation in patients with Marfan syndrome

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Abstract Background The dislocation of the crystalline lens is a common finding in patients with Marfan syndrome (MFS).Scleral intraocular lens (IOL) fixation is an accepted treatment method of this complication.To now, no long-term data on scleral IOL fixation in MFS exist.

Methods We present a retrospective study of 27 eyes of 17 MFS patients that underwent scleral lens fixation at our clinic between 1999 and 2012.These patients are compared to an age- and surgeon-matched group of 31 eyes of 27 patients who 30hh bikini underwent the same procedure for reasons other than MFS.Results The median age in the MFS group was 35.

4 years versus 35.6 years in the non-MFS group.The median follow-up was 4 years for MFS and 3 years for non-MFS.

In the MFS group, significantly more IOL-dislocations occurred than compared to the non-MFS group (30% vs.6.5%, p = 0.

02).Retinal detachment occurred in four MFS-eyes compared to three eyes in the non-MFS group.Biometry prediction error was 1.

11 diopters (D) for MFS and 1.33 D for non-MFS (p = 0.11).

Median BCVA (best-corrected visual acuity, logMAR) was 0.1 in the MFS group versus 0.3 in non-MFS patients.

Conclusion Scleral lens bar drain board fixation in MFS patients achieves satisfying visual and refractive outcomes.Our data shows a significantly higher rate of IOL dislocations in patients with MFS.We therefore recommend addressing this complication preoperatively.