Ectopia lentis et pupillae: relato de caso

Ectopia lentis et pupillae

“…In ectopia lentis et pupillae, the pupils are generally discoric, slit-shaped, oval or elliptical, but in 40% of these patients are normal, with poor pupillary dilation and displaced in the opposite direction to the lens ectopia (3,9,10) . For autosomal recessive pattern, there may be consanguineous pedigree (1,6) .…”

“…Other possible findings are: microspherophakia, transillumination of the iris in the periphery caused by the posterior pigmented layer malformation, iridodonesis, pupillary membrane persistence, proeminent iris processes, lens displacement in anterior chamber or vitreous, megalocornea, corneal astigmatism, posterior embriotoxon, strabismus and high axial myopia (1,3,(6)(7)(8)(9)(10) . Despite the frequent association with megalocornea, the patient studied had normal corneal diameters.…”

“…Glaucoma and retinal detachment are common in these patients, especially after the surgical procedure and the complications are difficult to control (1,8,9) .…”

“…Except for the last, in none of these entities concomitant pupil displacement is described (1,5,9,10) .…”

“…This anomaly limited to the eye is autosomal recessive with variable expressivity between the two eyes of the patient and family members (1,3,(6)(7)(8)(9)(10) .…”