Sequential Femtosecond Laser-Assisted Cataract Surgery in Marfan Syndrome
Narrative Responses:
Purpose
To report sequential femtosecond laser-assisted cataract surgery in Marfan’s syndrome.
Methods
Case report.
Results
A 55-year-old West African male with significant ectopia lentis due to Marfan’s syndrome underwent sequential femtosecond laser-assisted cataract surgery (LensAR ; Orlando, FL). A 4.95 mm anterior capsulotomy was centered on the vertex of the subluxated crystalline lens using the optical axis software. Subsequent centration of the capsular bag was achieved using a capsular tension ring. A foldable single-piece Toric lens was implanted to reduce the preexisting keratometric astimatism. No intraoperative complications were observed.
Conclusion
Femtosecond laser-assisted capsulotomy and phacofragmentation has potential to reduce the likelihood of complication in preparation for Toric intraocular lens implantation in spite of ectopia lentis in the setting of Marfan’s syndrome.