| CASE REPORT |
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| Year : 2020 | Volume
: 2
| Issue : 1 | Page : 8 |
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Bilateral phacoemulsification and toric extended depth of focus intraocular lens implantation in Alport's syndromes
Ines Fitas Figueiredo Matias, Pedro Nuno Prata Gomes, Sílvia Nerantzoulis da Cunha Diniz, Pedro Rodrigues de Almeida Pereira Rita Neves, Mário Andre Correa da Silva Melo de Ornelas
Department of Ophthalmology, Setubal Hospital Center, São Paulo, Brazil
Correspondence Address:
Ines Fitas Figueiredo Matias
Rua 11, Numero 18, Bairro Da Calcada Dos Mestres, 1070-193 Lisboa
Brazil
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/PAJO.PAJO_29_19
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Alport syndrome is a hereditary disorder characterized by sensorineural deafness, renal disease, and ocular abnormalities, including anterior lenticonus with high refractive errors. We report a case of Alport's syndrome with bilateral anterior lenticonus that was submitted to phacoemulsification and toric extended depth of focus (EDOF) intraocular lens (IOL) implantation. A 49-year-old male patient presented with progressive bilateral visual loss for 10 years. His past medical history included a diagnosis of Alport's syndrome, with renal transplantation 20 years ago. The best-corrected visual acuity was 20/80 in the right eye and 20/63 in the left eye. Examination showed anterior lenticonus and anterior subcapsular opacities. Phacoemulsification and toric EDOF-IOL implantation were performed in both eyes. Capsulorhexis was challenging because of a highly elastic anterior capsule, which was aided by the use of a viscoadaptive ophthalmic viscosurgical device. The postoperative period was uneventful, with good refractive and visual outcomes.
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