A Case of Pediatric Ectopia Lentis: Systemic Associations and Management Options

Abstract

Background: Ectopia lentis is a subluxation, displacement, or malposition of the crystalline lens of the eye. It can be a congenitally inherited condition or it can be acquired and there are several etiologies. Systemic conditions should be considered when a patient presents with ectopia lentis of unknown etiology, including Marfan Syndrome, Weill-Marchesani Syndrome, Ehlers-Danlos Syndrome, and homocystinuria. Surgical management of ectopia lentis is often indicated, as potential benefits outweigh possible risks and complications secondary to surgical intervention. However, the condition can also be non-surgically managed. It is crucial that the optometrist first makes an accurate diagnosis in these patients, then appropriately refers them to other professionals for further consultation and management, and finally continues to monitor the visual development of these patients over the course of their lives. Case Report: A three-year-old black male presented with bilateral lens subluxation of unknown etiology, in addition to high myopia, strabismus, and decreased visual acuity. He is being managed for refractive amblyopia and strabismus and was referred for a consultation for surgical management of ectopia lentis. Conclusion: Ectopia lentis has numerous etiologies and a variety of management considerations that optometrists need to be cognizant of when they encounter a pediatric patient with this condition.