M E D I C U S - Shoqata e Mjekëve Shqiptarë të Maqedonisë-Hipokrati

Figure 1 a- Skeletal abnormalities (long, thin extremities).
Figure 1 b- Arachnodactly in the same patient.
Fundus evaluation showed bilateral spontaneous posterior lens dislocation
associated with total rhegmatogenous retinal detachment in the right eye (Figure 2 a-b).
Ultrasonography of the right eye revealed spikes consistent with a total
rhegmatogenous retinal detachement and a posterior dislocated lens (Figure 2 c).
Figure 2 Here ... (from left to right)
Figure 2 a- The lack of the lens.
Figure 2 b- Fundoscopic view of total rhegmatogenous retinal detachment.
Figure 2 c- Ultrasound examination of the right eye – Retinal detachment and presumed lens
material in the vitreous cavity.
The patient underwent successful retinal detachment surgery (PPV + SOI) in the
right eye and had visual acuity of 4/20, (+6.5 D/+1.00 X 10°) at 6 months follow up
(Figure 3 a-b). She had also antiglaucomatous therapy for the left eye, but with poor
results (presence of vitreous in the anterior chamber). She was referred to a cardiologist
and she had a complete check up and future following up plan.