Ectopia Lentis Follow-up

Author: Charles W Eifrig, MD; Chief Editor: Hampton Roy Sr, MD more...

Updated: Jul 22, 2011

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Further Outpatient Care
Inpatient & Outpatient Medications
Deterrence/Prevention
Complications
Prognosis
Patient Education
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Further Outpatient Care

Close follow-up care with a full ocular examination, including tonometry (intraocular pressure check) and dilated fundus examination, is important.

Inpatient & Outpatient Medications

Topical drops may be necessary to lower the intraocular pressure or to help decrease inflammation.

Deterrence/Prevention

Early diagnosis of ectopia lentis with appropriate optical correction can prevent amblyopia.

Complications

The most common ocular complications of ectopia lentis include amblyopia, uveitis, glaucoma, and retinal detachment; appropriate treatment for these specific entities should be implemented.

Prognosis

Depending on the degree of lens dislocation, the age of onset, and its associated secondary complications, most patients do well.

Those patients who have trauma-associated ectopia lentis may have other more life-threatening complications (depending on the severity of the trauma).

Patients with heritable conditions associated with ectopia lentis may have other systemic complications.

Patient Education

Patients with ectopia lentis associated with a heritable condition need to be educated on the importance of following up with a primary care physician to rule out life-threatening disorders.

Safety glasses are advocated when risk of eye injury is possible.

Contributor Information and Disclosures

Author

Charles W Eifrig, MD Vitreoretinal Surgeon, Retina Associates of Orange County

Charles W Eifrig, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, American Society of Retina Specialists, and Retina Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Richard W Allinson, MD Associate Professor, Department of Ophthalmology, Texas A&M University Health Science Center; Senior Staff Ophthalmologist, Scott and White Clinic

Richard W Allinson, MD, is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, and Texas Medical Association

Disclosure: Nothing to disclose.

Simon K Law, MD, PharmD Associate Professor of Ophthalmology, Jules Stein Eye Institute, University of California, Los Angeles, David Geffen School of Medicine

Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, American Glaucoma Society, and Association for Research in Vision and Ophthalmology

Disclosure: Nothing to disclose.

J James Rowsey, MD Former Director of Corneal Services, St Luke's Cataract and Laser Institute

J James Rowsey, MD is a member of the following medical societies: American Academy of Ophthalmology, American Association for the Advancement of Science, American Medical Association, Association for Research in Vision and Ophthalmology, Florida Medical Association, Pan-American Association of Ophthalmology, Sigma Xi, and Southern Medical Association

Disclosure: Nothing to disclose.

Lance L Brown, OD, MD Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri

Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences

Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology

Disclosure: Nothing to disclose.

Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous coauthor, David E Eifrig, MD, to the development and writing of this article.

References

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Clark CC. Ectopia lentis: a pathologic and clinical study. Arch Ophthalmol. 1939;21:124-153.
Albert DM, Jakobiec FA. Pathology of the lens. In: Principles and Practice of Ophthalmology. 2000:2225-2239.
Nelson L. Ectopia lentis in childhood. J Pediatr Ophthalmol Strabismus. Jan-Feb 2008;45(1):12. [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.
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Ectopia lentis. Dislocated traumatic lens (cataract).

Ectopia lentis. Dislocated lens into the vitreous secondary to trauma.

Ectopia lentis. Supertemporal dislocation of a lens in the right eye of a patient with Marfan syndrome. Note the attached zonular fibers.

Ectopia lentis. Microspherophakia and spontaneous inferior dislocation of a lens in a patient with Weil-Marchesani syndrome.

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