Evidence map›Paper›PMID 40005367›Full record

ReviewMedicina (Kaunas, Lithuania)2025

Refractive Alterations in Marfan Syndrome: A Narrative Review.

Dionysios G Vakalopoulos, Stamatios Lampsas, Marina S Chatzea, Konstantina A Togka, Vasileios Tsagkogiannis, Dimitra Mitsopoulou, Lida Lalou, Aikaterini Lampsa, Marios Katsimpras, Petros Petrou and 1 more

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Ocular Clues in Musculoskeletal Disorders: A Narrative Review for Orthopaedic Specialists.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Dionysios G Vakalopoulos1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0002-0204-8919
Stamatios Lampsas2nd Department of Ophthalmology, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0001-6481-0000
Marina S Chatzea1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0009-0005-2861-6629
Konstantina A Togka1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0002-0536-7130
Vasileios Tsagkogiannis1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0009-0007-5142-7353
Dimitra Mitsopoulou1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0002-5002-1788
Lida Lalou1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Aikaterini Lampsa2nd Department of Ophthalmology, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Marios Katsimpras1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0002-5949-6069
Petros Petrou1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0002-7358-1251
George D Kymionis1st Department of Ophthalmology, "G. Gennimatas" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Marfan syndrome (MFS) is a genetic disorder that affects the connective tissue in several systems, with ocular, cardiovascular, and skeletal system manifestations. Its ocular manifestations include ectopia lentis (EL), myopia, astigmatism, and corneal abnormalities. This review examines refractive alterations related to MFS such as EL, microspherophakia, lens coloboma, altered corneal biomechanics (flattening, thinning, and astigmatism), and myopia and their impact on visual acuity. The pathogenesis of these manifestations stems from mutations in the FBN1 gene (encoding fibrillin-1). Moreover, the current medical and surgical management strategies for MFS-related refractive errors, including optical correction (eyeglasses, contact lenses, etc.), and surgical interventions like lensectomy, intraocular lens (IOL) implantation (anterior chamber, posterior chamber, scleral-fixated, iris-fixated), and the use of capsular tension rings/segments are further discussed. Considering the likelihood of underdiagnosing and underestimating ocular involvement in MFS, this updated review highlights the critical need to identify and address these refractive issues to enhance the visual outcomes for those affected.

Indexed as

Marfan SyndromeRefractive ErrorsEctopia LentisHumansMyopiaVisual Acuityectopia lentisMarfan syndromeocular manifestationsrefractive alterationsrefractive management

Identifiers

PMID40005367
PMCPMC11857730

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.