OD OS JL Chung, et al. WEILL-MARCHESANI SYNDROME Fig. 4. On rotating Scheimpflug camera examination, increased anteroposterior diameter of the spherophakic lens (5200/5020 μm) and contact between the anteriorly dislocated lens and the central corneal endothelium were clearly demonstrated. The hypoplastic ciliary body (arrow) and elongated zonules (arrowhead) were also observed. A : OD B : OD C : OS Fig. 5. Ultrasound biomicroscopic assessment revealed (A) a steep anterior lens curvature, angle narrowing and iridocorneal contact, (B) hypoplastic ciliary body (arrowhead) and elongated zonules (arrow) in her right eye, and (C) increased anteroposterior diameter of lens and iridocorneal/corneolenticular contact in her left eye. Fig. 6. Chromosomal analysis of phytohemagglutinin stimulated peripheral lymphocytes by the Giemsa banding technique revealed 46, XX, inv (15) (q13qter) (red arrowhead). central corneal thickness was increased to 672/712 μm on ultrasonic pachymeter (UP-1000Ⓡ, Nidek, Maehama, Japan). On rotating Scheimpflug camera (PentacamⓇ, Oculus, Wetzlar, Germany) examination, increased anteroposterior diameter of the spherophakic lens (5200/5020 μm), hypoplastic ciliary body, elongated and stretched zonules, and the anteriorly dislocated lens touching central corneal endothelium were clearly demonstrated (Fig. 4). Ultrasound biomicroscopic assessment (HiScanⓇ, Optikon, Rome, Italy) revealed a steep anterior lens curvature, angle narrowing, iridocorneal and corneolenticular contact, hypoplastic ciliary body and elongated zonules (Fig. 5). Chromosomal analysis of phytohemagglutinin stimulated peripheral lymphocytes by Giemsa banding technique revealed 46, XX, inv (15) (q13qter) (Fig. 6). The patient's parents and two sisters demonstrated normal cytogenetic examination and crystalline lens morphology. Echocardiographic examination showed trivial mitral regurgitation and tricuspid regurgitation, but her left ventricle ejection fraction (LVEF: 65%) and gross cardiac morphology were normal. Systemic evaluation was done to exclude homocystinuria, Alport syndrome, mandibulofacial dysostosis, hyperlysinemia, sulfite oxidase deficiency, Marfan syndrome, 257