Surgical outcomes of modified capsular tension ring and intraocular lens implantation in Marfan syndrome with ectopia lentis

摘要

Objective: To evaluate surgical outcomes of modified capsular tension ring (MCTR) and intraocular lens (IOL) implantation in eyes of Marfan syndrome (MFS). Methods: This retrospective case series included MFS patients receiving MCTR transscleral fixation and IOL in-the-bag implantation. The MCTR was sutured to the sclera through a sulcus by 9–0 polypropylene with the modified knotless Z-suture technique. Main outcomes were visual acuity and postoperative complications. Results: A total of 109 MFS patients (187 eyes) had the surgery. Patients were 15.47?±?14.36?years old and followed up for 10.07?±?8.99?months. MCTR and IOL implantations were performed in 174 eyes (93.05). The postoperative BCVA (LogMAR) was 0.24?±?0.24 (1?month), 0.26?±?0.20 (3?months), 0.22?±?0.20 (6?months), 0.20?±?0.19 (12?months) and 0.25?±?0.32 (over 12?months), which was significantly better than preoperatively (0.63?±?0.35) ( p ?