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Images in paediatrics
Bilateral dislocation of the ocular lens in an African child
  1. Erik Schaftenaar1,2,3,
  2. G Seerp Baarsma2,
  3. Remco P H Peters1
  1. 1Anova Health Institute, Johannesburg and Tzaneen, South Africa
  2. 2Rotterdam Eye Hospital, Rotterdam, the Netherlands
  3. 3Department of Viroscience, Erasmus MC, Rotterdam, the Netherlands
  1. Correspondence to Dr Erik Schaftenaar, Anova Health Institute, 21 Peace Street, Tzaneen 0850, South Africa; e.schaftenaar{at}

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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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  • Contributors ES: data collection, data interpretation, literature search, figures and writing. GSB: writing. RPHP: data interpretation, literature search and writing. ES and RPHP had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. ES and RPHP are responsible for data analysis.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.