PDF(Pubmed)
Abstract：
Aim: To describe the case of a patient with Marfan syndrome who had bilateral superonasal lens subluxation. Method: The case of a male patient, aged 18, who complained of having impaired vision in both eyes (BE) since he was a toddler, was presented. On examination of the patient, features suggestive of Marfan syndrome were revealed, as well as bilateral intraocular lens subluxation. Results: The patient was refracted and glasses were recommended, which improved his vision. The patient was referred to the cardiology, orthopedic, and dental departments for a multidisciplinary approach to prevent complications and further management. Discussion: Lens subluxation is frequently presented as a primary clinical manifestation of Marfan syndrome. It can vary from asymptomatic, which is seen only after pupillary dilation, to significant subluxation, in which the equator of the lens in the pupillary axis causes diplopia or decreased vision. Conclusion: This case underscored the importance of considering the rare feature of Marfan syndrome.
摘要：
目的：描述一例双侧鼻上晶状体半脱位的马凡氏综合征患者。方法：以一名男性患者为例，18岁，自蹒跚学步以来，他抱怨双眼视力受损(BE)，被介绍了。在检查病人时，揭示了暗示马凡氏综合征的特征，以及双侧人工晶状体半脱位。结果：患者折返，建议戴眼镜，这改善了他的视力。病人被转诊到心脏病学，骨科,和牙科部门的多学科方法，以防止并发症和进一步管理。讨论：晶状体半脱位通常是马凡氏综合征的主要临床表现。它可以从无症状的变化，只有在瞳孔扩张后才能看到，严重的半脱位，其中晶状体在瞳孔轴上的赤道导致复视或视力下降。结论：该病例强调了考虑马凡氏综合征罕见特征的重要性。
