AllBodySurgery.com
IOL for marfan syndrome... why not?
I can't find anyone to place an IOL in my 5 year old sons eye after lens removal. He doesn't have Marfans but our eyes are the same as theirs. Why can a child with cataracts have an IOL placed in, but his subluxed lens can only be removed and no iol placed in until he's 18?
Public Comments
- In Marfan Syndrome, the zonules (fibrous strands, see link below) that attach to the crystalline lens are weak, which makes IOL surgery much more challenging. In addition, IOL implanatation is associated with a higher risk of glaucoma (high eye pressures, which left uncontrolled can cause blindness) and damage to the cornea (the clear part in front of the eye with the highest refractive power of the eye). Other complications of Marfan Syndrome include a higher risk of retinal detachment. http://en.wikipedia.org/wiki/Zonule_of_Zinn These articles have some good information. Keep in mind they're specific for Marfan Syndrome, as you didn't indicate your son's particular diagnosis. http://www.crstodayeurope.com/Pages/whichArticle.php?id=421 http://www.ima.org.il/imaj/ar08mar-3.pdf You should be able to call the doctor that removed your son's lenses and ask for more information from them. If they can't help you, you can get a second opinion.
- HI In a usual cataract surgery ,the surgeon remove the lens material but the posterior capsule of the lens left intact where the iol can be implanted in the capsular bag and fixed in The proper position . unfortunately in the cases of lend subluxation as marfan the bag is not stable and the surgeon must perform a total lensectomy; an usual iol can not be implanted ,instead an anterior chamber iol(over the iris) can be implanted only when the full eye growth be reached
