VITREOLENSECTOMY IN MARFANS-SYNDROME

Purpose To evaluate the effectiveness of pars plana vitreolensectomy i n the management of subluxed lenses associated with Marfan's syndrome and to assess the need for intraoperative retinal photocoagulation to prevent post-operative retinal detachment. Method A retrospective revi ew was carried out of 40 eyes of patients with Marfan's syndrome who u nderwent pars plana vitreolensectomy for subluxed lenses. Results All patients demonstrated stable or improved visual acuity following surge ry with a low incidence of complications. Conclusions Pars plana vitre olensectomy is a safe and effective treatment for subluxed lenses in p atients with Marfan's syndrome. It appears that intraoperative prophyl actic laser treatment need only be applied to areas of lattice degener ation to limit the incidence of post-operative retinal detachment.