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.
Jarrett WH II. Dislocation of the lens. A study of 166 hospitalized cases. Arch Ophthalmol. Sep 1967;78(3):289-96. [Medline].
Nirankari MS, Chaddah MR. Displaced lens. Am J Ophthalmol. Jun 1967;63(6):1719-23. [Medline].
Nelson LB, Maumenee IH. Ectopia lentis. Surv Ophthalmol. Nov-Dec 1982;27(3):143-60. [Medline].
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.
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].
Wentzloff JN, Kaldawy RM, Chen TC. Weill-Marchesani syndrome. J Pediatr Ophthalmol Strabismus. May-Jun 2006;43(3):192. [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].

