Longer axial length and presence of residual capsule increase the risk for retinal detachment in children with Marfan syndrome following lens-removal surgery, a new study found.
In children with Marfan syndrome who undergo lens removal, the risk for retinal detachment increases 16-fold when capsular residue is present and by 30% with increase in axial length.Researchers assessed the risk factors for retinal detachment in 85 children with Marfan syndrome who had surgery to remove a lens between January 2010 and January 2020.
All patients underwent a comprehensive ophthalmologic examination before surgery and at each follow-up which included best-corrected visual acuity, evaluation of anterior and posterior segments, and intraocular pressure. Axial length and corneal curvature also were evaluated before surgery. The researchers collected data on capsular residue after surgery, implantation of intraocular lenses, and number of surgeries performed.
The main outcome was the occurrence of a retinal detachment during the follow-up period after surgery.At a mean follow-up of 11.5 years, 24 patients developed retinal detachment, with multiple tears observed in the majority of the eyes. Incomplete removal of the capsular bag increased the risk for retinal detachment nearly 17-fold (odds ratio, 16.8,The cumulative risk for retinal detachment after lens removal increased from 8% at 5 years to 15% at 10 years."When lens subluxation is important, capsular should be thoroughly and completely removed.
Retinal Detachment Vision Care And Maintenance Surgery Children Child Childhood Pediatrics Kids Marfan Syndrome Eye Pediatric Ophthalmology Paediatric Ophthalmology
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