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Rev. bras. oftalmol ; 78(6): 399-402, nov.-dez. 2019. graf
Article in Portuguese | LILACS | ID: biblio-1057915

ABSTRACT

Resumo A síndrome de Marfan é uma doença de herança autossômica dominante e que afeta o tecido conjuntivo com manifestações fenotípicas que envolvem os sistemas esquelético, cardiovascular e ocular. As principais manifestações oculares são a subluxação do cristalino, a miopia e o descolamento da retina. O objetivo deste artigo foi relatar a conduta clínico-cirúrgica de um paciente portador da síndrome de Marfan com cristalino luxado para a cavidade vítrea e que evoluiu com severa reação facoanafilática caracterizada por um glaucoma secundário severo e descompensação corneana.


Abstract Marfan syndrome is an autosomal dominant inheritance disease that affects connective tissue with phenotypic manifestations involving the skeletal, cardiovascular and ocular systems. The main ocular manifestations are the subluxation of the lens, myopia and retinal detachment. The aim of this article was to report the clinical and surgical management of a patient with Marfan syndrome with luxated lens for the vitreous cavity and who developed a severe phacoanaphylactic reaction characterized by severe secondary glaucoma and corneal decompensation.


Subject(s)
Humans , Male , Middle Aged , Lens Subluxation/complications , Lens Subluxation/etiology , Anaphylaxis/etiology , Marfan Syndrome/complications , Vitrectomy/methods , Vitreous Body/surgery , Visual Acuity , Corneal Edema/etiology , Glaucoma/etiology , Lens Subluxation/surgery , Lens Subluxation/diagnosis , Vision, Low , Ultrasonography , Lens Implantation, Intraocular/methods , Eye Pain , Slit Lamp Microscopy , Intraocular Pressure
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