Clear lens phacoemulsification with continuous curvilinear capsulorhexis and foldable intraocular lens implantation for the treatment of a patient with bilateral anterior lenticonus due to alport syndrome

Abstract

The case of a 29-year-old man is reported who presented with a gradually progressive, painless decrease in vision over 10 years. Anterior segment examination with a slit lamp revealed anterior lenticonus in both eyes. The patient had previously been diagnosed with bilateral sesorinueral deafness, however investigations revealed anterior lenticonus in both eyes. The patient had previously been diagnosed with bilateral sensoreneural deafness, however investigations revealed microscopic haematuria and renal insufficiency that subsequently led to a diagnosis of classical Alport syndrome. Since the patient's quality of vision was severely affected by the bulging anterior lens capsule, surgical treatment was required. Clear lens phacoemulsification with continous curvilinear capsulorhexis and foldable intaocular lens implantation were performed in each eye 2 days apart. One week after surgery, visual acuity was excellent in both eyes. Clear lens pahceomulsification with continous curvilinear capsulorhesis and foldable intraocular lens implantation was a safe and effective therapeutic choice in this patients for the management of anterior lenticonus due to Alport syndrome. Copyright © 2008 Field House Publishing LLP.