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Clinical profile and outcome of ocular manifestation in Marfans syndrome in India

Authors
  • Shah, Shreya
  • Shah, Mehul
  • Chandane, Pradeep
  • Makhloga, Sakshi
  • Thorat, Deeksha
  • Sanghani, Meera
Type
Published Article
Journal
Indian Journal of Ophthalmology
Publisher
Wolters Kluwer - Medknow
Publication Date
Jan 27, 2022
Volume
70
Issue
2
Pages
626–629
Identifiers
DOI: 10.4103/ijo.IJO_1651_21
PMID: 35086250
PMCID: PMC9023917
Source
PubMed Central
Keywords
Disciplines
  • Special Focus, Systemic Syndromes, Original Article
License
Unknown

Abstract

Purpose: Marfan syndrome (MFS) is a genetic disorder associated with considerable morbidity and mortality. Presently, well-documented information on this condition is not available in India. Methods: In this retrospective cohort study, we recruited patients with clinically diagnosed MFS who presented to the outpatient department using revised Ghent nosology. We retrieved complete ophthalmic information, including vision, anterior and posterior segments, exported from electronic medical records, and relevant investigations, surgical details, and follow-up data were obtained in a specific, pretested format. Results: Our cohort consisted of 86 eyes of 43 patients and had a male preponderance. The prevalence was 20.5 per 100,000 individuals. The mean age of the patients was 23.9 years. All eyes were treated either optically with refraction or surgically using lensectomy and vitrectomy with suture supported scleral fixated intraocular lens (IOL), which significantly affected the visual outcome ( P = 0.000). Conclusion: Although considered a rare disease, MFS is commonly found in the ophthalmological setting. Refraction and surgery (lensectomy with scleral fixated IOL) may improve the vision significantly.

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