An Occult Lacrimal Sac Diverticula Incidentally Found on Exploration after Tectonic Penetrating Keratoplasty for a Leaky Cicatrix in a Patient with Marfan Syndrome
We report a lacrimal sac diverticulum found incidentally on exploration after a tectonic penetrating keratoplasty performed for an anterior staphyloma with a leaky cicatrix. It was done in the left eye (LE) of a Marfan’s syndrome patient with bilateral congenital subluxated lenses who developed corn...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-07-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/DLJO.DLJO_97_23 |
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| Summary: | We report a lacrimal sac diverticulum found incidentally on exploration after a tectonic penetrating keratoplasty performed for an anterior staphyloma with a leaky cicatrix. It was done in the left eye (LE) of a Marfan’s syndrome patient with bilateral congenital subluxated lenses who developed corneal decompensation after he underwent cataract surgery elsewhere with anterior chamber intraocular lenses 13 years ago. The fibrillin-1 gene mutation in Marfan’s syndrome could have predisposed to the diverticulum formation in the LE and corneal perforation in that eye highlights the importance of a protective healthy ocular environment. |
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| ISSN: | 0972-0200 2454-2784 |