Phacoemulsification in a Rare Case of Alport’s Syndrome

Abstract

Aim: To report a rare case of Alport Syndrome (AS) highlighting the precautions and surgical complications during phacoemulsification. Method: A 35 year old female presented with bilateral painless progressive diminution of vision since 6 months and had bilateral deafness since 12 years. Best corrected visual acuity (BCVA) in both the eyes was 4/60. Bilateral anterior lenticonus, posterior polar cataract with posterior lenticonus, macular and peripheral retinal flecks, which are rarely reported in females, were present. Right eye phacoemulsification and IOL implantation was done. Result: During surgery capsulorrhexis underwent multiple dehiscence in a “flower petal pattern” due to fragile capsule. It was completed with microforceps under high viscocity viscoelastic. IOL was placed in sulcus due to extension of capsulorrhexis. BCVA was 6/12 at 1 month. Conclusion: This rare case highlights the importance of an eye ailment in revealing an important systemic disease. It also highlights proper management of complications that can give good result even in difficult cases.

• Anterior lenticonus
• deafness
• hematuria
• posterior lenticonus