When appropriate, referral of the family to a clinical geneticist should be considered for a more extended discussion of recurrence rates, reproductive options, and evaluation of risks to other family members. Considerable variability exists in phenotype within and between families. Evaluate the newborn for scoliosis. Evaluate the joints for laxity and contractures. Lens dislocation usually follows years of subluxation.
Evaluation requires slit lamp examination and evaluation by a pediatric ophthalmologist.
Cardiovascular Check the newborn for the presence of a murmur, which indicates aortic valve insufficiency, mitral valve prolapse, or mitral valve insufficiency. Cardiovascular manifestations, although unusual in the newborn, have been reported. Note cardiac rhythm. Obtain an echocardiogram. Patient referral to a pediatric cardiologist should be considered.