Bilateral Anteriorly Displaced Microspherophakia in a Female Child With Marfanoid Habitus

Microspherophakia is a rare congenital anomaly characterized by an abnormally small and spherical crystalline lens, which can be associated with several systemic syndromes. We present an extremely rare case of bilateral anteriorly displaced microspherophakia in a female child with Marfanoid habitus....

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Published inCurēus (Palo Alto, CA) Vol. 15; no. 5; p. e38371
Main Authors Khan, Taimoor A, Khan, Ali A, Khan, Asfandyar, Zahid, Muhammad A, Mehboob, Mohammad A
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 01.05.2023
Cureus
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Abstract Microspherophakia is a rare congenital anomaly characterized by an abnormally small and spherical crystalline lens, which can be associated with several systemic syndromes. We present an extremely rare case of bilateral anteriorly displaced microspherophakia in a female child with Marfanoid habitus. The patient displayed phenotypic features resembling Marfan syndrome, including tall stature, muscle hypotonia, dolichostenomelia, and increased arm span than body length. However, unlike Marfan syndrome, Marfanoid habitus is not associated with mutations in the fibrillin-1 gene. The association between microspherophakia and Marfanoid habitus is a unique presentation that has not been reported in the literature. This case report aims to increase awareness of microspherophakia as a possible ocular association of Marfanoid habitus.
AbstractList Microspherophakia is a rare congenital anomaly characterized by an abnormally small and spherical crystalline lens, which can be associated with several systemic syndromes. We present an extremely rare case of bilateral anteriorly displaced microspherophakia in a female child with Marfanoid habitus. The patient displayed phenotypic features resembling Marfan syndrome, including tall stature, muscle hypotonia, dolichostenomelia, and increased arm span than body length. However, unlike Marfan syndrome, Marfanoid habitus is not associated with mutations in the fibrillin-1 gene. The association between microspherophakia and Marfanoid habitus is a unique presentation that has not been reported in the literature. This case report aims to increase awareness of microspherophakia as a possible ocular association of Marfanoid habitus.
Author Mehboob, Mohammad A
Khan, Ali A
Zahid, Muhammad A
Khan, Taimoor A
Khan, Asfandyar
AuthorAffiliation 2 Ophthalmology, Armed Forces Institute of Ophthalmology, Rawalpindi, PAK
4 Ophthalmology, Monash Health, Clayton, AUS
3 Ophthalmology, Ayub Medical College, Abbottabad, PAK
1 Ophthalmology, National University of Medical Sciences (NUMS) Rawalpindi, Rawalpindi, PAK
AuthorAffiliation_xml – name: 4 Ophthalmology, Monash Health, Clayton, AUS
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Cites_doi 10.1111/j.1444-0938.2002.tb03085.x
10.3390/ijerph19020772
10.1097/IJG.0b013e3182707437
10.1186/1471-2415-15-3
10.4274/tjo.47135
10.1097/j.jcrs.0000000000000334
10.1007/s10038-006-0078-1
10.1016/S0886-3350(02)01617-6
10.1038/eye.2014.250
10.1016/S0886-3350(01)01226-3
ContentType Journal Article
Copyright Copyright © 2023, Khan et al.
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Copyright © 2023, Khan et al. 2023 Khan et al.
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Issue 5
Keywords marfan disease
marfanoid habitus
marfan syndrome
microspherophakia
ectopia lentis
alport’s syndrome
Language English
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References Şimşek T (ref6) 2016; 46
Willoughby CE (ref10) 2002; 28
Khokhar S (ref4) 2003; 29
Chan RT (ref7) 2002; 85
Yu X (ref1) 2020; 46
Senthil S (ref2) 2014; 23
Muralidhar R (ref3) 2015; 29
Wozniak-Mielczarek L (ref8) 2022; 19
Mizuguchi T (ref9) 2007; 52
Guo H (ref5) 2015; 15
References_xml – volume: 85
  year: 2002
  ident: ref7
  article-title: Microspherophakia
  publication-title: Clin Exp Optom
  doi: 10.1111/j.1444-0938.2002.tb03085.x
  contributor:
    fullname: Chan RT
– volume: 19
  year: 2022
  ident: ref8
  article-title: How to distinguish Marfan syndrome from Marfanoid habitus in a physical examination-comparison of external features in patients with Marfan syndrome and Marfanoid habitus
  publication-title: Int J Environ Res Public Health
  doi: 10.3390/ijerph19020772
  contributor:
    fullname: Wozniak-Mielczarek L
– volume: 23
  year: 2014
  ident: ref2
  article-title: Glaucoma in microspherophakia: presenting features and treatment outcomes
  publication-title: J Glaucoma
  doi: 10.1097/IJG.0b013e3182707437
  contributor:
    fullname: Senthil S
– volume: 15
  year: 2015
  ident: ref5
  article-title: Weill-Marchesani syndrome with advanced glaucoma and corneal endothelial dysfunction: a case report and literature review
  publication-title: BMC Ophthalmol
  doi: 10.1186/1471-2415-15-3
  contributor:
    fullname: Guo H
– volume: 46
  year: 2016
  ident: ref6
  article-title: Isolated microspherophakia presenting with angle-closure glaucoma
  publication-title: Turk J Ophthalmol
  doi: 10.4274/tjo.47135
  contributor:
    fullname: Şimşek T
– volume: 46
  year: 2020
  ident: ref1
  article-title: Diagnosis and treatment of microspherophakia
  publication-title: J Cataract Refract Surg
  doi: 10.1097/j.jcrs.0000000000000334
  contributor:
    fullname: Yu X
– volume: 52
  year: 2007
  ident: ref9
  article-title: Recent progress in genetics of Marfan syndrome and Marfan-associated disorders
  publication-title: J Hum Genet
  doi: 10.1007/s10038-006-0078-1
  contributor:
    fullname: Mizuguchi T
– volume: 29
  year: 2003
  ident: ref4
  article-title: Phacoemulsification in a case of microspherophakia
  publication-title: J Cataract Refract Surg
  doi: 10.1016/S0886-3350(02)01617-6
  contributor:
    fullname: Khokhar S
– volume: 29
  year: 2015
  ident: ref3
  article-title: Visual outcome and incidence of glaucoma in patients with microspherophakia
  publication-title: Eye (Lond)
  doi: 10.1038/eye.2014.250
  contributor:
    fullname: Muralidhar R
– volume: 28
  year: 2002
  ident: ref10
  article-title: Lensectomy in the management of glaucoma in spherophakia
  publication-title: J Cataract Refract Surg
  doi: 10.1016/S0886-3350(01)01226-3
  contributor:
    fullname: Willoughby CE
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SubjectTerms Genetics
Glaucoma
Habitus
Marfan syndrome
Myopia
Ophthalmology
Patients
Pediatrics
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Title Bilateral Anteriorly Displaced Microspherophakia in a Female Child With Marfanoid Habitus
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