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Indian J OphthalmolIndian J OphthalmolIJOIndian Journal of Ophthalmology0301-47381998-3689Medknow Publications & Media Pvt Ltd India 30038176IJO-66-119210.4103/ijo.IJO_542_18Ophthalmic ImageBilateral lens coloboma associated with Marfan syndrome Gupta Gaurav Goyal Parul Malhotra Chintan Jain Arun Kumar Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Correspondence to: Dr. Arun Kumar Jain, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India. E-mail: aronkjain@yahoo.com8 2018 66 8 1192 1192 Copyright: © 2018 Indian Journal of Ophthalmology2018This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
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An 18-year-old-female, a known case of Marfan syndrome, was referred to us for routine eye evaluation. Her best-corrected visual acuity was 20/40 in both eyes. Her retinoscopic findings were −6.75DS/−3.50DC × 5° in the right eye and −8.0DS/−1.50DC × 5° in the left eye. On biomicroscopic examination, her corneas were clear. There was presence of indentation or concavity of lens periphery inferiorly in both eyes extending approximately 2 clock hours in the right eye [Fig. 1a] and 1 clock hours in the left eye [Fig. 1b], suggestive of bilateral inferior lens coloboma.[1] Fundus was normal. Lens colobomas are congenital lens anomaly, rarely seen with Marfan syndrome. They are usually managed conservatively.

Figure 1 Anterior-segment photographs of right (a) and left (b) eye, showing the presence of indentation or concavity of lens periphery inferiorly in both the eyes, suggestive of bilateral inferior lens coloboma

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The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest
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1 Thapa BB  Singh R  Ram J  Kumar A   Lens coloboma in one eye and ectopia lentis in the other eye of a patient with Marfan syndrome BMJ Case Rep 2014 2014 pii: bcr2014207112