Marfan Syndroma in Ophthalmology – case report
Sažetak
Abstract
Purpose
Authors report the case of a 59-year old woman with bilateral posterior lens luxation in vitreous, medically controlled glaucoma and corneal adherent leucoma with vascularization in whom Marfan syndrome was diagnosed.
Methods
The patient underwent complete clinical eye and systemic examinations and blood samples were drawn for mutational screening of fibrillin1 gene (FBN1).
Conclusion
The patient was diagnosed with Marfan syndrome on clinical basis do to genetic testing revealed a new heterozygous mutation in the FBN1 gene and described with ocular signs. The patient required pars plane vitrectomy with lensectomy, or Ahmed valve implantation in vitreous to control glaucoma secondary, but the finally treatment was without surgical modules from recommendation of referent expert team. In our patient glaucoma secondary was under therapy control.
Keywords: Marfan syndroma, lens dislocation, genetic, diagnosis, therapy
Reference
Ramirez F, Dietz HC. Marfan syndrome: from molecular pathogenesis to clinical treatment. Curr Opin Genet Dev 2007; 17(3):252-8.
Chandra A, Aragon-Martin JA, Hughes K, et al. A genotype-phenotype comparison of ADAMTSL4 and FBN1 in isolated ectopic lentis. Invest Ophthalmol Vis Sci 2012; 53(8):4889-96.
Milla E, Leszczynska A, Rey A, Navarro M, Larena C. Novel FBN1 mutation causes Marfan syndrome with bilateral ectopia lentis and refractory glaucoma. Eur J Ophthalmol 2012; 22(4):667-9.
Ogawa N, Imai Y, Nishimura H, et al.Circulating transforming growth factor β-1 level in Japanese patients with Marfan syndrome. Int Heart J 2013; 54(1):23-6.
Dean JC. Marfan syndrome: clinical diagnoses and management. Eur J Hum Genet 2007; 15(7):724-33.
Koenig SB, Mieler WF. Management of ectopia lentis in a family with Marfan syndrome. Arch Ophthalmol 1996; 114(9):1058-61.
Summers KM, West JA, Hattam A, Stark D, McGill JJ, West MJ. Recent developments in the diagnosis of Marfan syndrome and related disorders. Med J Aust 2012; 197(9):494-7.
Bolar N, Van Laer L, Loeys BL. Marfan syndrome: from gene to therapy. Curr Opin Pediatr 2012; 24(4):498-504.
Shi Y, Tu Y, De Maria A, Mecham RP, Bassnett S. Development, composition and structural arrangements of the ciliary zonal of the mouse. Invest Ophthalmol Vis Sc 2013; 54(4):2504-15.
Sharma T, Gopal L, Shanmugam MP, et al. Retinal detachment in Marfan syndrome: clinical characteristics and surgical outcome. Retina 2002; 22(4):423-8.