{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:27:30Z","timestamp":1772119650402,"version":"3.50.1"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Ophthalmol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Subluxation of the crystalline lens (Ectopia Lentis, EL) can lead to significant visual impairment and serves as a diagnostic criterion for genetic disorders such as the Marfan syndrome. There is no established criterion to diagnose and quantify EL. We prospectively investigated the distance between the zonular fibre insertion and the limbus (ZLD) in healthy subjects as a parameter to assess the position of the lens, quantify EL and provide normative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, observational, cross-sectional study includes one-hundred-fifty eyes of 150 healthy participants (mean age 28\u00a0years, range 4\u201368). Pupils were dilated with tropicamide 0.5% and phenylephrine 2.5% eyedrops. ZLD was measured in mydriasis at the slit lamp as the distance between\u00a0the most central visible insertions of the zonular fibres on the lens surface and the corneoscleral limbus. Vertical pupil diameter (PD) and refractive error were recorded. If zonular fibre insertions were not visible, the distance between\u00a0limbus and the pupillary margin was recorded as ZLD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      145 right and 5 left eyes were examined. 93% of study subjects were Caucasian, 7% were Asian. In eyes with visible zonular fibre insertions (n\u2009=\u200976 eyes), ZLD was 1.30\u2009\u00b1\u20090.28\u00a0mm (mean\u2009\u00b1\u2009SD, range 0.7\u20132.1) and PD was 8.79\u2009\u00b1\u20090.57\u00a0mm (7.5\u20139.8). In the remaining 74 eyes,\u00a0ZLD was 1.38\u2009\u00b1\u20090.28\u00a0mm (0.7\u20132.1), and\u00a0PD was 8.13\u2009\u00b1\u20090.58\u00a0mm (6.7\u20139.4). For all eyes, ZLD was 1.34\u2009\u00b1\u20090.29\u00a0mm (0.7\u20132.1), and\u00a0PD was 8.47\u2009\u00b1\u20090.66\u00a0mm (6.7\u20139.8). Refractive error and sex did not significantly affect ZLD. Smaller PD and older age were associated with larger ZLD (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001 and\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.036, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Average ZLD was 1.34\u00a0mm in\u00a0eyes of healthy subjects. Older age correlated with larger ZLD.\u00a0These normative data will aid in diagnosing and quantifying EL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10792-024-03163-0","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T08:02:02Z","timestamp":1719216122000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Zonular fibre Insertion-to-Limbus Distance (ZLD): normative data to assess lens position and diagnose ectopia lentis"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8108-823X","authenticated-orcid":false,"given":"Max","family":"Rohrberg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Lussac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3678-6183","authenticated-orcid":false,"given":"Daniel J.","family":"Salchow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"issue":"9","key":"3163_CR1","doi-asserted-by":"publisher","first-page":"e0183370","DOI":"10.1371\/journal.pone.0183370","volume":"12","author":"P Gehle","year":"2017","unstructured":"Gehle P, Goergen B, Pilger D, Ruokonen P, Robinson PN, Salchow DJ (2017) Biometric and structural ocular manifestations of marfan syndrome. 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