Ophthalmology · Lens and Cataract (Types, Surgery, IOL, Complications)

A 45-year-old man with Marfan syndrome is found to have bilateral superotemporal subluxation of the crystalline lens. The most appropriate term for this condition is:

  • A Ectopia lentis
  • B Phacomorphic glaucoma
  • C Spherophakia
  • D Microspherophakia
Correct answer: A. Ectopia lentis

Explanation

Ectopia lentis refers to displacement of the crystalline lens from its normal position due to zonular weakness or rupture. In Marfan syndrome (fibrillin-1 mutation), the lens typically subluxates superiorly and temporally. In homocystinuria, the displacement is inferonasal. Spherophakia describes an abnormally spherical (ball-shaped) lens, while microspherophakia is a small, spherical lens — distinct conditions from ectopia lentis.

Reference: Khurana Comprehensive Ophthalmology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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