A case of Marshall syndrome with secondary glaucoma due to spontaneous rupture of the lens capsule
Endo, S.; Hashimoto, Y.; Ishida, N.; Kusano, Y.; Ohkoshi, K.; Yamaguchi, T.
Nippon Ganka Gakkai Zasshi 102(1): 75-79
1998
ISSN/ISBN: 0029-0203 PMID: 9489375 Document Number: 496841
An eight-year-old boy developed acute glaucoma in his left eye. He was diagnosed as having Marshall syndrome because of bilateral cataract, high myopia, saddle nose, hypertelorism, and lack of arthropathy. When seen immediately after the glaucomatous attack, the affected eye showed ruptured anterior and posterior lens capsules and displacement of the lens nucleus into the anterior chamber and vitreous cavity. Lens extraction and vitrectomy induced normalization of intraocular pressure and visual acuity. There are forty cases reported in the world literature and only one cases in Japan. To the best of our knowledge, this is the first case treated successfully by vitreous surgery.