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Systemic diseases with ectopia lentis

Ophthalmology
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Ectopia lentis refers to the displacement / malposition of the eye's crystalline lens from its normal location.

 

Systemic diseases with ectopia lentis are given below table-

 

Disease

Ectopia lentis

Systemic features 

Marfan syndrome

(Autosomal dominant)

 

Mnemonic: Mast

Superior and

temporally 

 

 

1. Arachnodactyly (spider finger)
2. Hyperextensibility of joint
3. Long extrimities
4. High arch palate
5. Dissecting aortic aneurysm

 

Homocystinuria 

Inferior and

nasally 

Weill Marchesani 

syndrome 

Anterior 

1. Anterior dislocation of lens 

cause pupil block glucoma

Ehlers-Danlos
syndrome 

Present 

1. Blue sclera

2. Hyperextensibility of joint

3. Loose skin with fold

Hyperlysinaemia

(deficiency of 

lysine alpha ketone 

glutarate reductase)

Occasionally

associated

1. Lax ligament

2. Hypotonic muscles

3. Seizures

4. Mental handicap 

Sticker syndrome 

Occasionally

associated

-

Sulphite oxidase
deficiency 

Present 

1. Progressive muscle rigidity 

2. Decerebrate posture

3. Mental handicap

4. Fatal disease (death occur
before 5 year of age)

 

Reference: 

1. Comprehensive ophthalmology, A K Khurana, 7th edition, P. No. 222-23