수정체이탈을 동반한 마르팡증후군에서 앞유리체경계면을 보존하며 실시한 공막봉합 인공수정체삽입술

Transscleral IOL Fixation With Preserved Anterior Vitreous Face in Marfan Syndrome With Ectopia Lentis

Purpose: To evaluate the safety and efficacy of transscleral intraocular lens (IOL) fixation while preserving the anterior vitreous face in treating ectopia lentis of Marfan syndrome. Methods: This study included six patients (12 eyes) who had undergone surgical intervention for ectopia lentis with or without lenticular opacity. We compared the best-corrected visual acuity (BCVA) before and after the surgery and evaluated perioperative complications. Results: The mean age at the time of surgery was 18.2±10.7 years. The mean follow-up period was 11.2±7.1 months. Mean BCVA scores changed from 0.96±0.37 (LogMar Value) to 0.14±0.17 (LogMar Value). All patients showed more than two lines of improvement in visual acuity. In two eyes, pupillary capture was found. Medically controllable intraocular pressure elevation was found in three eyes. Conclusions: This study suggests that transscleral IOL fixation with a preserved anterior vitreous face can be a safe and effective technique in treating the ectopia lentis of Marfan syndrome.