Alport Syndrome: Don't Miss The Anterior Lenticone
Published 2023 - 41st Congress of the ESCRS
Reference: PO0067 | Type: Case report | DOI: 10.82333/nqzs-2k95
Authors: Leticia Arriel Crepaldi* 1 , Gustavo Moreira Madeira 1 , Ana Luisa Souto Gandra 1 , Bernardo Guimarães de Lara Carvalho 1 , Bruno Lovaglio Cançado Trindade 1
1Instituto de Olhos Ciências médicas,Belo Horizonte,Brazil
Alport Syndrome is a hereditary disease, characterized by renal alterations that may be accompanied by extra-renal alterations, such as: sensorineural hearing loss and ocular alterations.
The purpose of this case is to report a patient who underwent renal transplantation and had history of hypoacusis and low visual acuity, however, it took a while to diagnose the anterior lenticone.
Public University Hospital.
37-year-old male, submitted to a kidney transplant 12 years ago, presented with deafness and low visual acuity (VA). He had made an ophthalmic exam several times without reaching a diagnosis. Fluorescein angiography and macular optical coherence tomography were all unremarkable. Recently, in a basic annual evaluation, the oil drop sign was noticed in the biomicroscopy and the diagnosis of bilateral anterior lenticone was made. Corrected visual acuity was 20/100 in both eyes. The patient underwent phacoemulsification with bilateral intraocular lens implantation, improving vision to 20/20 in both eyes. This case illustrates ocular manifestation of anterior lenticone in Alport Syndrome.
Anterior lenticone can cause decreased visual acuity. It can be present in Alport syndrome and a complete assessment of the past clinical history is important to diagnose this challenging and subtle condition.