Bilateral lens coloboma associated with Marfan syndrome.

An 18-year-old-female, a known case of Marfan syndrome, was referred to us for routine eye evaluation. Her best-corrected visual acuity was 20/40 in both eyes. Her retinoscopic findings were −6.75DS/−3.50DC × 5° in the right eye and −8.0DS/−1.50DC × 5° in the left eye. On biomicroscopic examination, her corneas were clear. There was presence of indentation or concavity of lens periphery inferiorly in both eyes extending approximately 2 clock hours in the right eye [Fig. 1a] and 1 clock hours in the left eye [Fig. 1b], suggestive of bilateral inferior lens coloboma.[1] Fundus was normal. Lens colobomas are congenital lens anomaly, rarely seen with Marfan syndrome. They are usually managed conservatively.

Figure 1

Anterior-segment photographs of right (a) and left (b) eye, showing the presence of indentation or concavity of lens periphery inferiorly in both the eyes, suggestive of bilateral inferior lens coloboma

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