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CASE REPORT
Year : 2015  |  Volume : 8  |  Issue : 3  |  Page : 198-199

Delayed sclerotomy wound dehiscence after lensectomy and vitrectomy in Marfan syndrome


Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA

Correspondence Address:
Dr. Jayanth Sridhar
900 NW 17th Street, Miami, Florida
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.169893

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Marfan syndrome (MFS) is associated with abnormal fibrillin development that can cause morbidity and mortality. A case of acute onset hypotony due to sclerotomy wound dehiscence 13 years after 20-gauge pars plana vitrectomy and lensectomy is reported in a patient with MFS. Slit lamp examination revealed a leaking sclerotomy wound and intraoperatively the source was noted to be the prior sclerotomy site. On postoperative follow-up, the patient's vision returned to baseline, and intraocular pressure normalized. Twenty-gauge sclerotomy wound dehiscence may occur years after surgery, especially in patients with abnormal collagen as in MFS.


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