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Diseases of the lens

Last updated: October 7, 2019

Summary

The lens, together with the cornea, is responsible for refracting light onto the retina. Zonular fibers attach the lens to the ciliary body, which holds the lens in position and determines its degree of accommodation. Pathological conditions of the lens include cataracts, displacement of the lens, and aphakia. Cataracts, in which age-related degenerative processes lead to clouding of the lens, are the most common disease of the lens. Ectopia lentis, a displacement of the lens, can be caused by ocular diseases, trauma, or systemic conditions. While a partially displaced lens (subluxation) involves little to no loss of visual acuity, complete displacement of the lens (luxation) results in severe visual impairment. Subluxation is common in individuals with Marfan syndrome and homocystinuria. Treatment of a displaced lens involves refractive correction and/or surgical removal of the lens. Aphakia is the absence of the lens, which can be congenital or secondary to trauma or surgery (e.g., cataract surgery). Clinical features include poor visual acuity and total loss of visual accommodation. Treatment consists of refractive correction with aphakic glasses, contact lenses, or surgery.

For more information on cataracts, see the corresponding article.

Anatomy of the lens

For more details, see gross anatomy of the eye and lens.

Ectopia lentis

In Marfan syndrome, the lens subluxates superiorly and temporally (upward and outwards). In homocystinuria, the lens subluxates inferiorly and medially (downward and inwards).

References:[1][2]

Aphakia

References:[3][4]

References

  1. Ectopia Lentis. http://eyewiki.aao.org/Ectopia_Lentis. Updated: March 10, 2015. Accessed: November 28, 2018.
  2. Ectopia Lentis et Pupillae. https://www.aao.org/bcscsnippetdetail.aspx?id=d73ac0fe-8185-4bb2-bbe0-3064da69f6a5. Updated: January 1, 2018. Accessed: November 28, 2018.
  3. Congenital Aphakia. https://www.aao.org/BcscSnippetDetail.aspx?id=1e1122b0-3e87-4bdb-99c4-443254ab4da2. Updated: January 1, 2018. Accessed: November 28, 2018.
  4. Friedman NJ, Kaiser PK. Essentials of Ophthalmology. Elsevier Health Sciences ; 2007