A Tale of Two Ectopics: Two Cases Depicting the End Spectra of Ectopia Lentis

Aim: To bring in perspective the two extremes of dysmorphic syndrome presenting with ectopia lentis. Methods and Material: A nine year old female with history of bilateral gradual painless diminution of vision and a twelve year old female with similar complaints underwent a thorough systemic, ophthalmic and serological examination. Results: Increased corneal diameters and bilateral supero-temporally displaced pupils with infero-nasally displaced lens were detected with normal systemic features and serology in the first patient who was subsequently diagnosed as a case of ectopia lentis et pupillae (ELeP). Temporally displaced lens with normally placed pupil was observed in the second patient who was subsequently diagnosed as a case of Marfan's syndrome. Systemic evaluation revealed aortic root dilatation, mitral valve prolapse and arachnodactyly.