Femtosecond Laser-Assisted Cataract Surgery in Alport Syndrome with Anterior Lenticonus

Abstract

Femtosecond laser cataract surgery can be a safe and successful method for optical rehabilitation of anterior lenticonus in patients with Alport syndrome.

Bilateral spontaneous anterior lens capsule ruptures in a child: A rare presentation of Alport syndrome

“…Various recommendations for a surgical approach in such cases have been suggested, and include: performing continuous curvilinear capsulorhexis (CCC) after aspiration of cortical lens material; beginning the CCC in the mid-periphery of the lens capsule rather than in the center; gentle but thorough hydrodissection of the lens nucleus; and avoiding polishing of the posterior lens capsule. 10 , 11 …”

Femtosecond laser-assisted cataract surgery in anterior lenticonus due to Alport syndrome

“…Anterior lenticonus, even without the coexistence of a cataract, can lead to progressive visual acuity decline due to lenticular myopia and may require surgical intervention to restore full visual potential. [8] , [9] , [10] , [11] Cataract surgery (or clear lens extraction) with phacoemulsification has proven to be an effective means of treating this patient population. [5] , [6] , [7] , [9] , [10] , [11] , [12] , [13] However, more cases are necessary to fully determine the role of FLACS in managing these patients.…”

“…Ecsedy et al. 8 described two patients (three eyes) treated with FLACS that had superb visual outcomes with good centration of the capsulotomy and intraocular lens position. They experienced one anterior capsular tear caused by injury to the capsular rim by the phaco tip during phacoemulsification.…”

“…To our knowledge, there has been only one publication of two cases by Ecsedy et al. 8 reporting on the use of FLACS in this patient population. We describe another case of bilateral anterior lenticonus secondary to Alport syndrome treated with FLACS.…”

Alport Syndrome and Femtosecond Laser Assisted Cataract Surgery

“…[17,18] Femtosecond laser-assisted cataract surgery (FLACS) is a useful tool that helps to manage such challenges through automated, wellcentered capsulotomy. [19,20] In the current report, we present a case of bilateral anterior lenticonus secondary to Alport syndrome that was treated with FLACS and a toric IOL implantation whose power and orientation were verified using intraoperative aberrometry. Herein, we describe the surgical procedure and discuss some of the expected challenges associated with intraoperative imaging in such cases.…”