PMC8077456_01
a Preoperative Scheimpflug corneal topography of the right cornea showing regular against the rule astigmatism with a flat cornea. b Preoperative schiempflug corneal topography of the left cornea showing regular against the rule astigmatism with a flat cornea (note the difference between the topographic cylinder [0.8 and 0.9 D] and manifest refractive cylinder [3 D], indicating presence of significant lenticular astigmatism).
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F1
Corneal topography revealed normal corneal thickness and no signs of corneal ectasia (Pentacam; Oculus, Inc., Lynnwood, WA, USA) (Fig. 1).
Patient with MFS with increased arm span length (a) and arachnodactyly (b). MFS, Marfan syndrome.
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F2
Family history was positive (father) for similar ophthalmic manifestations (Fig. 2).
a One-year post-operative slit lamp photography of the right eye showing the lens-free pupillary area inferiorly with well-centred ICL. b One-year post-operative slit lamp photography of the left eye showing the lens-free pupillary area inferiorly with well-centred ICL. A typical coloboma notch is seen inferiorly at lens equator in both eyes. ICL, Implantable Collamer Lens.
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F3
Her pIOL vaulting, IOP, and slit lamp examination were unremarkable at all follow-ups (Fig. 3).
a One-year ASOCT image of both eyes (right eye (a), left eye (b)) showing ICL vaulting. ASOCT, anterior segment optical coherence tomography; ICL, Implantable Collamer Lens.
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F4
At last follow-up (18 months post-op), visual acuity was 20/20 in both eyes with adequate ICL vault as measured by anterior segment optical coherence tomography (Fig. 4).