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A 7-year-old boy presented to a rural hospital in South Africa with poor and double vision in both eyes. Ophthalmological examination confirmed low visual acuity (6/60) and revealed vertical and horizontal monocular diplopia in both eyes. On slit-lamp examination, bilateral superotemporal dislocation of the ocular lens (ectopia lentis) and iridodonesis (tremulous iris) was observed (figure 1); funduscopic examination showed no abnormalities. Superotemporal bilateral ectopia lentis in children is highly suggestive of Marfan's syndrome (MFS). The patient was referred to a …
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