Femtosecond Laser-Assisted Cataract Surgery in Pediatric Marfan Syndrome With Ectopia Lentis
Narrative Responses:
Purpose
The purpose of this study is to demonstrate experience and technique for performing femto-second laser assisted cataract surgery in pediatric Marfan syndrome.This study evaluates the right eye treatment of a 10-year old boy with Marfan syndrome and associated ectopia lentis in both eyes.
Methods
The patient received general anesthesia and was prepared under sterile conditions. A non-applanating fluid filled interface was used to dock the patient to Catalys precision laser system (Optimedica). A 4.1mm capsulotomy was centered on the scanned capsule and surgery is completed using a Cionni type 1L capsular bag tension ring followed by IOL implantation on the same bed.
Results
No complications were observed within 10 weeks of follow-up. The corrected distance visual acuity increased to 20/25. The postoperative refraction was sphere +0.25, cylinder -1.0 A.
Conclusion
The use of a femtosecond laser with an integrated imaging system has potential to perform a circular, easy, and gentle to remove, complete and well-centered capsulotomy for subsequent capsular tension ring and IOL implantation without decentration in patients with Marfan syndrome.