When is the best time to operate for a dislocated lens in both eyes?

  Patient: Description (time of onset, main symptoms, hospital visited, etc.): I have a dislocated lens in both eyes, can I come to see you? Do you have any suggestions for this disease? After surgery, how many years can I keep it from recurring?  Chen Yanyun, Ophthalmology Department, Beijing Tongren Hospital: I have already read your question. According to the image you provided, although it is not clear, we can see that the lens of both eyes is deviated to the upper part of the nose, so we should consider whether the patient is suffering from “manfan syndrome”. Does the patient have abnormalities in other organs of the body? In terms of treatment for lens dislocation, surgery may be considered in cases of complications due to dislocation (e.g., secondary glaucoma, lens dropping into the vitreous cavity, etc.) or if the visual acuity in one eye is less than 0.3. Moreover, patients with dislocation often have retinal fissures in the peripheral part of the fundus, which require careful examination of the peripheral part of the fundus. If surgery is required, a tension ring and an IOL will be fitted after surgery and will usually last a lifetime if there are no special circumstances.