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September 1992

Familial Posterior Lenticonus and Microcornea

Author Affiliations

Baltimore, Md

Arch Ophthalmol. 1992;110(9):1208. doi:10.1001/archopht.1992.01080210026011

Most cases of posterior lenticonus are unilateral, isolated, and not associated with other ocular or systemic abnormalities. Familial posterior lenticonus has been documented in a total of five families in three previous reports.1-3 We present a mother and son with bilateral posterior lenticonus and microcornea as well as high myopia in the mother.

Report of Cases.  —The mother was aged 32 years when we first examined her. She had congenital cataracts and underwent four surgical procedures in the right eye, the first at age 3 years, but did not undergo surgery in the left eye. She developed glaucoma in the right eye. Except for her 6-year-old son with bilateral congenital cataracts, no other family members were known to be affected. She had mitral valve prolapse and pectus excavatum but no other findings suggestive of, or diagnostic of, the Marfan syndrome. Visual acuity was 2/200 OD with +5.75 sphere and

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