ArticleBMC ophthalmology2017
Long-term follow-up after scleral lens fixation in patients with Marfan syndrome.
Article in BMC ophthalmology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 28 citations in OpenAlex.
- Long-term outcomes of sutured and sutureless (Yamane) scleral-fixated intraocular lens implantation for lens subluxation in Marfan syndrome: a retrospective case series.BMC ophthalmology · 2026Article
- Capsular tension ring force line and intraocular lens angle on the impact of postoperative astigmatism in Marfan syndrome lens subluxation: a retrospective study.Scientific reports · 2026Article
- Comparison of the Cionni ring and Yamane techniques for intraocular lens implantation in pediatric Marfan syndrome patients with lens subluxation.BMC ophthalmology · 2026Article
- Comment On: Surgical Outcomes of Lens Removal with or without Intraocular Lens Implantation in Marfan Syndrome: A Retrospective Cohort Study [Response to Letter].Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Clinical characteristics and outcomes of intraocular lens dislocation: an eight-year retrospective study.PloS one · 2025Article
- Surgical Outcomes of Lens Removal with or Without Intraocular Lens Implantation in Marfan Syndrome: A Retrospective Cohort Study.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Comment on: Surgical Outcomes of Lens Removal with or without Intraocular Lens Implantation in Marfan Syndrome: A Retrospective Cohort Study [Letter].Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Femtosecond Laser Combined with Double-Flange Polypropylene Suture Capsular Tension Ring Suspension for the Treatment of Subluxation of Lens in Marfan Syndrome.Computational and mathematical methods in medicine · 2022Article
- Biomechanical Testing of Flanged Polypropylene Sutures in Scleral Fixation.American journal of ophthalmology · 2021Article
- Incidence and management of rhegmatogenous retinal detachment after pars plana vitrectomy and sutureless scleral-fixated intraocular lens.Indian journal of ophthalmology · 2020Article
- Outcome of sutured scleral fixated intraocular lens in Marfan syndrome in pediatric eyes.International ophthalmology · 2020Article
- Bimanual irrigation-aspiration for ectopia lentis and use of a small incision for 4-point scleral-sutured foldable intraocular lens and anterior vitrectomy in patients with Marfan syndrome.Indian journal of ophthalmology · 2019Article
- Marfan syndrome: improved clinical history results in expanded natural history.Genetics in medicine : official journal of the American College of Medical Genetics · 2019Review
- Management of ectopia lentis in children.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological SocietyArticle
- Management Strategies of Ocular Abnormalities in Patients with Marfan Syndrome: Current Perspective.Journal of ophthalmic & vision researchReview
- Indications and Outcomes of Select Vitreoretinal Surgery in Patients With Marfan Syndrome.Journal of vitreoretinal diseasesArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe dislocation of the crystalline lens is a common finding in patients with Marfan syndrome (MFS). Scleral intraocular lens (IOL) fixation is an accepted treatment method of this complication. To now, no long-term data on scleral IOL fixation in MFS exist.
methodsWe present a retrospective study of 27 eyes of 17 MFS patients that underwent scleral lens fixation at our clinic between 1999 and 2012. These patients are compared to an age- and surgeon-matched group of 31 eyes of 27 patients who underwent the same procedure for reasons other than MFS.
resultsThe median age in the MFS group was 35.4 years versus 35.6 years in the non-MFS group. The median follow-up was 4 years for MFS and 3 years for non-MFS. In the MFS group, significantly more IOL-dislocations occurred than compared to the non-MFS group (30% vs. 6.5%, p = 0.02). Retinal detachment occurred in four MFS-eyes compared to three eyes in the non-MFS group. Biometry prediction error was 1.11 diopters (D) for MFS and 1.33 D for non-MFS (p = 0.11). Median BCVA (best-corrected visual acuity, logMAR) was 0.1 in the MFS group versus 0.3 in non-MFS patients.
conclusionScleral lens fixation in MFS patients achieves satisfying visual and refractive outcomes. Our data shows a significantly higher rate of IOL dislocations in patients with MFS. We therefore recommend addressing this complication preoperatively.
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