Ectopia lentis et pupillae: report of a unilateral case and surgical management

Abstract

Purpose: To report a case of clinically unilateral congenital ectopia lentis et pupillae (ELeP) and discuss its surgical management.

Design: Interventional case report.

Methods and results: A 37-year-old female was referred to our service for surgical management of unilateral ectopia pupillae for aesthetic reasons. On presentation the visual acuity of the affected eye was 20/400. Ultrasound exam did not show any crystalline lens dislocation, and therefore the case was considered a very rare variable of the ELeP syndrome. We proceeded to surgical correction of the pupillary ectopia. At the 3-month follow-up the patient's visual acuity was 20/30.

Conclusions: Although the clinical features and the genetic aspects of ELeP are documented in the older ophthalmic literature, this entity has received relatively little attention. Surgical correction of this rare disorder can be attempted for aesthetic and functional reasons.