To describe the tearing pattern during continuous curvilinear capsulorhexis in a patient with anterior lenticonus due to Alport syndrome.
Methods
A patient with bilateral anterior lenticonus underwent successful bilateral phacoemulsification and implantation of a single-piece intraocular lens.
Results
The capsule tore in an atypical cogwheel-like tearing pattern during capsulorhexis. This tearing pattern likely correlates to the known ultrastructural characteristics of thinning and periodic dehiscence and breaks in the anterior capsule.
Conclusions
Knowing this tearing pattern preoperatively can help to prevent capsule runoff and capsule rupture.
Get full access to this article
View all access options for this article.
References
1.
ColvilleDJSavigeJAlport syndrome. A review of the ocular manifestations. Ophthalmic Genet1997; 18(4): 161–173.
2.
SandBJAbrahamSVAnterior lenticonus. An operated case and a review of the literature. Am J Ophthalmol196253636–639.
3.
JohnMENoblittRLCootsSDBoleynKLBallewCClear lens extraction and intraocular lens implantation in a patient with bilateral anterior lenticonus secondary to Alport's syndrome. J Cataract Refract Surg1994; 20(6): 652–655.
4.
JunkAKFritzSHLudwigKBilateral anterior lenticonus: Scheimpflug imaging system documentation and ultrastructural confirmation of Alport syndrome in the lens capsule. Arch Ophthalmol2000118895–897.
5.
AslanzadehGAGharabaghiDNaderiNClear lens phacoemulsification in the anterior lenticonus due to Alport Syndrome: two case reports. J Med Case Rep20082178.
6.
BayarSAPinarciEYKarabayGAkmanAOtoSYilmazGClear lens phacoemulsification in Alport syndrome: refractive results and electron microscopic analysis of the anterior lens capsule. Eur J Ophthalmol2014; 24(3): 345–351.
7.
StreetenBWRobinsonMRWallaceRonesDBLens capsule abnormalities in Alport's Syndrome. Arch Ophthalmol19871051693–1697.
