Femtosecond laser-assisted cataract surgery in Alport's syndrome - A case report

• Published in: Indian journal of ophthalmology Vol. 67; no. 11; pp. 1891 - 1893
• Main Authors: Nath, Manas, Gireesh, Prasanth
• Format: Journal Article
• Language: English
• Published: India Medknow Publications & Media Pvt. Ltd 01-11-2019; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Aberrometry; Alport syndrome; anterior lenticonus; Capsulorhexis - methods; Case Reports; Cataract - diagnosis; Cataract - etiology; cataract surgery; Cataracts; Eye surgery; Female; femtosecond laser; Hearing loss; Humans; Laboratories; Laser Therapy - methods; Lasers; Lens Implantation, Intraocular - methods; Lens, Crystalline - diagnostic imaging; Lens, Crystalline - surgery; Lenticonus; Nephritis, Hereditary - complications; Slit Lamp Microscopy; Surgery; Tomography, Optical Coherence; Visual Acuity; Young Adult; United States > US; femtosecond laser; cataract surgery; Anterior lenticonus
• ISSN: 0301-4738; 1998-3689
• DOI: 10.4103/ijo.IJO_586_19

Alport's syndrome with anterior lenticonus poses significant challenges during capsulorhexis with high chances of peripheral extension. We report a case of 23-year-old lady with Alport's syndrome with anterior lenticonus in the left eye that underwent successful femtosecond laser-assisted cataract surgery (FLACS). The anterior lenticonus was eccentric nasally; hence, the FLACS capsulotomy was positioned slightly nasally so that the capsulotomy margin was outside the cone base. The distance vision improved from 6/24 to 6/6 at one-month follow-up. In summary, FLACS improved the safety of cataract surgery in an eye with anterior lenticonus and yielded excellent visual outcomes.