Toric multifocal intraocular lens implantation in a case of bilateral anterior and posterior lenticonus in Alport syndrome
نویسندگان
چکیده
We report the first case of toric multifocal intraocular lens (IOL) implantation in both the eyes of a young patient of Alport syndrome with anterior and posterior lenticonus with a successful outcome. An 18-year-old female patient presented with progressively blurred vision in both eyes since 4-5 years not improving with glasses. Refraction showed high myopia with astigmatism; however, the vision did not improve beyond 6/60 with glasses correction. Clinical examination on slit lamp showed anterior and posterior lenticonus bilaterally with a classical oil droplet appearance. We performed clear lens extraction by phacoemulsification with toric multifocal IOL implantation in both eyes. Postoperatively, the patient achieved an excellent refractive outcome with the unaided vision of 6/9, N6 in both eyes.
منابع مشابه
Clear lens phacoemulsification in the anterior lenticonus due to Alport Syndrome: two case reports
INTRODUCTION Alport Syndrome has a prevalence of 1 case per 5,000 people and 85% of patients have the X-linked form, where affected males develop renal failure and usually have high-tone sensorineural deafness by age 20. The main abnormality is deficient synthesis of type IV collagen, the main component of basement membranes. Common ocular abnormalities of this syndrome consist of dot-and-fleck...
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A 66-year-old man with the classic signs of Alport's syndrome--progressive hemorrhagic nephropathy and sensorineural deafness--plus bilateral anterior lenticonus, anterior and posterior subcapsular cataracts, and scattered lens opacities is presented. Bilateral anterior leniconus is rarely seen in patients without the syndrome. The syndrome is usually fatal in males by the second or third decad...
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