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: Niveditha Narayanan, Sonam Poonam Nissar, Nimisha Nagpal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/DLJO.DLJO_97_23
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author Niveditha Narayanan
Sonam Poonam Nissar
Nimisha Nagpal
author_facet Niveditha Narayanan
Sonam Poonam Nissar
Nimisha Nagpal
author_sort Niveditha Narayanan
collection DOAJ
description 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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institution Kabale University
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publishDate 2023-07-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delhi Journal of Ophthalmology
spelling doaj-art-86af5daa242e49d0af155e53be1389f92025-08-20T03:52:16ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842023-07-0133321421610.4103/DLJO.DLJO_97_23An Occult Lacrimal Sac Diverticula Incidentally Found on Exploration after Tectonic Penetrating Keratoplasty for a Leaky Cicatrix in a Patient with Marfan SyndromeNiveditha NarayananSonam Poonam NissarNimisha NagpalWe 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.https://journals.lww.com/10.4103/DLJO.DLJO_97_23corneal meltlacrimal sac diverticulaleaky cicatrixmarfan syndrometectonic penetrating keratoplasty
spellingShingle Niveditha Narayanan
Sonam Poonam Nissar
Nimisha Nagpal
An Occult Lacrimal Sac Diverticula Incidentally Found on Exploration after Tectonic Penetrating Keratoplasty for a Leaky Cicatrix in a Patient with Marfan Syndrome
Delhi Journal of Ophthalmology
corneal melt
lacrimal sac diverticula
leaky cicatrix
marfan syndrome
tectonic penetrating keratoplasty
title An Occult Lacrimal Sac Diverticula Incidentally Found on Exploration after Tectonic Penetrating Keratoplasty for a Leaky Cicatrix in a Patient with Marfan Syndrome
title_full An Occult Lacrimal Sac Diverticula Incidentally Found on Exploration after Tectonic Penetrating Keratoplasty for a Leaky Cicatrix in a Patient with Marfan Syndrome
title_fullStr An Occult Lacrimal Sac Diverticula Incidentally Found on Exploration after Tectonic Penetrating Keratoplasty for a Leaky Cicatrix in a Patient with Marfan Syndrome
title_full_unstemmed An Occult Lacrimal Sac Diverticula Incidentally Found on Exploration after Tectonic Penetrating Keratoplasty for a Leaky Cicatrix in a Patient with Marfan Syndrome
title_short An Occult Lacrimal Sac Diverticula Incidentally Found on Exploration after Tectonic Penetrating Keratoplasty for a Leaky Cicatrix in a Patient with Marfan Syndrome
title_sort occult lacrimal sac diverticula incidentally found on exploration after tectonic penetrating keratoplasty for a leaky cicatrix in a patient with marfan syndrome
topic corneal melt
lacrimal sac diverticula
leaky cicatrix
marfan syndrome
tectonic penetrating keratoplasty
url https://journals.lww.com/10.4103/DLJO.DLJO_97_23
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