eMedicine Specialties > Ophthalmology > Lens
Ectopia Lentis: Differential Diagnoses & Workup
Updated: May 13, 2009
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
Cataract, Traumatic
Glaucoma, Pseudoexfoliation
Intraocular Lens Dislocation
Other Problems to Be Considered
Trauma
Hereditary ectopia lentis without systemic manifestations
Systemic disease with known causal relationship
Primary ocular disorders
Other systemic conditions with rare association with ectopia lentis
Workup
Laboratory Studies
- Perform appropriate diagnostic and laboratory evaluation, if a hereditary condition is suspected (eg, cardiac evaluation for Marfan syndrome, check serum and urine levels of homocysteine or methionine for homocystinuria).
Imaging Studies
- Echography: Axial length measurement may be of benefit (patients with Marfan syndrome have large globes).
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| Overview: Ectopia Lentis |
Differential Diagnoses & Workup: Ectopia Lentis |
| Treatment & Medication: Ectopia Lentis |
| Follow-up: Ectopia Lentis |
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| References |
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References
Albert DM, Jakobiec FA. Pathology of the lens. In: Principles and Practice of Ophthalmology. 2000:2225-2239.
Clark CC. Ectopia lentis: a pathologic and clinical study. Arch Ophthalmol. 1939;21:124-153.
Duane T. Cataracts and systemic disease. In: Duane's Clinical Ophthalmology. 5. 1999:13-14.
Ganesh A, Smith C, Chan W, et al. Immunohistochemical evaluation of conjunctival fibrillin-1 in Marfan syndrome. Arch Ophthalmol. Feb 2006;124(2):205-9. [Medline].
Jarrett WH II. Dislocation of the lens. A study of 166 hospitalized cases. Arch Ophthalmol. Sep 1967;78(3):289-96. [Medline].
Konradsen T, Kugelberg M, Zetterström C. Visual outcomes and complications in surgery for ectopia lentis in children. J Cataract Refract Surg. May 2007;33(5):819-24. [Medline].
Nelson L. Ectopia lentis in childhood. J Pediatr Ophthalmol Strabismus. Jan-Feb 2008;45(1):12. [Medline].
Nelson LB, Maumenee IH. Ectopia lentis. Surv Ophthalmol. Nov-Dec 1982;27(3):143-60. [Medline].
Nirankari MS, Chaddah MR. Displaced lens. Am J Ophthalmol. Jun 1967;63(6):1719-23. [Medline].
Omulecki W, Wilczynski M, Gerkowicz M. Management of bilateral ectopia lentis et pupillae syndrome. Ophthalmic Surg Lasers Imaging. Jan-Feb 2006;37(1):68-71. [Medline].
Parrish RK II. Anatomy, physiology, and pathology of the crystalline lens. In: Bascom Palmer Eye Institute's Atlas of Ophthalmology. 1999:241.
Wentzloff JN, Kaldawy RM, Chen TC. Weill-Marchesani syndrome. J Pediatr Ophthalmol Strabismus. May-Jun 2006;43(3):192. [Medline].
Further Reading
Keywords
ectopia lentis, dislocated lens, lens dislocation, luxated lens, subluxated lens, lens subluxation, lens displacement, malpositioned lens
Differential Diagnoses & Workup: Ectopia Lentis