Marked loss of corneal endothelial cells due to wandering crystalline lens in a case of Marfan syndrome

Accession number;04A0375663
Title;Marked loss of corneal endothelial cells due to wandering crystalline lens in a case of Marfan syndrome
Author; MIHARA ETSUKO (Tottori Univ., Fac. of Med.) YAWATA KENJI (Tottori Univ., Fac. of Med.) HATTA SHIRO (Tottori Univ., Fac. of Med.) INOUE YOSHITSUGU (Tottori Univ., Fac. of Med.) KATANO HIROKO (Kokuho Chizubyoin Ganka)
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.58;NO.4;PAGE.493-497(2004)
Figure&Table&Reference;FIG.4, REF.20
Pub. Country;Japan
Language;Japanese
Abstract;A 45-year-old male presented with lens luxation and secondary glaucoma. He showed typical manifestations of Marfan syndrome. Lens luxation had persisted for 41 months in the left eye and 24 months in the right eye. When seen by us, both eyes showed dislocated lens in the anterior chamber and in apposition to the posterior corneal surface. The endothelial cell population was decreased at 606/mm2 right and 1,282/mm2 left. He has been doing well after receiving intracapsular lens extraction through self-closure scleral incision in both eyes. This case illustrates that due attention is necessary to the corneal endothelial cells in Marfan syndrome and that self-closure incision is minimally invasive to the corneal endothelium during lens extraction. (author abst.)