![]() Both can be autosomal dominant or recessive. It can be congenital or acquired later spontaneously. Ocular Disease and Associations of Ectopia Lentis In case of minor traumatic injury, other causes and associations of ectopia lentis should be ruled out. Traumatic ectopia lentis can be present at birth or manifest at any age. ![]() It can occur secondary to blunt trauma to the head and eye or directly impact the eye. Įctopia lentis can be a manifestation of trauma, ocular pathology, or systemic disease. The etiology of ectopia lentis is broadly grouped as congenital, traumatic, metabolic/syndromic, and consecutive/spontaneous. The patient's visual outcome depends on the degree and extent of subluxation or dislocation and the presence and absence of complications. The pediatrician also plays a crucial role in ruling out familial disorders. Family members should also be evaluated to pinpoint the genetic association. A thorough ocular and systemic examination help in clinching the diagnosis. The patient should be questioned regarding cardiovascular, skeletal, and any other ocular abnormalities. Ī detailed past and systemic history are necessary in each case. This is a disorder with varied etiologies. Ectopia lentis can be a primary manifestation of a systemic disorder and should arouse suspicion of underlying systemic pathology. The lens can be seen in the anterior chamber, vitreous phase, or retinal surface. The cause can be traumatic or secondary to underlying systemic disease. The lens can be subluxated or dislocated away from the patellar fossa. It can be hereditary (familial) or acquired. ![]() Later, Stellwag was the first to name it ectopia lentis in 1856 in a patient with congenital dislocation of the lens. ![]() The first report came from Berry, who documented the first case of lenticular dislocation in 1749. Ectopia lentis refers to the hereditary or acquired malposition of the natural crystalline lens out of the patellar fossa. ![]()
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