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Chapter-14 Ectopia Lentis and its Management

BOOK TITLE: Pediatric Cataract Surgery

Author
1. Ram Jagat
2. Brar Gagandeep Singh
ISBN
9788180619182
DOI
10.5005/jp/books/10596_14
Edition
1/e
Publishing Year
2007
Pages
16
Author Affiliations
1. Postgraduate Institute of Medical Education and Research, Chandigarh, India, Post Graduate Institute of Medical Education and Research, Chandigarh, India, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Postgraduate Institute of Medical Education and Research Chandigarh, India, Advanced Eye Centre, Postgraduate Institute, of Medical Education and Research, Chandigarh, Post Graduate Institute of Medical Education and Research, Chandigarh, PGI, Chandigarh, India
2. Postgraduate Institute of Medical, Education and Research, Chandigarh, India, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Grewal Eye Institute, Chandigarh, PGI, Chandigarh (India), PGI, Chandigarh, India, Advanced Eye Centre, Postgraduate Institute, of Medical Education and Research, Chandigarh
Chapter keywords

Abstract

Ectopia lentis may be due to trauma, hereditary ectopia lentis without systemic manifestations and ectopia lentis with systemic associations such as Marfan’s syndrome, homocystinuria, Weil-Marchesani syndrome. Other situations associated with lens displacement are congenital glaucoma/buphthalmos, chronic uveitis, Aniridia, Intraocular tumors, High myopia and systemic conditions such as Sturge-Weber syndrome, Ehler–Danlos syndrome, Pierre Robin syndrome, Mandibulofacial dysostosis, Crouzon disease, Refsum syndrome, Conradi syndrome, Sprengel deformity. Indications for lens removal/cataract surgery are: lens-induced glaucoma, lens in the anterior chamber, monocular diplopia, lenticular opacity with poor visual function, lens-induced uveitis. Viable surgical alternatives include lensectomy with or without vitrectomy and scleral fixated IOL and Phacoaspiration with implantation of Capsular tension ring and capsular bag implantation of IOL.

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