Dr.KOKILAPRIYA. R, K20219
A 23 year old female was referred to our eye hospital, with bilateral defective vision, diagnosed with renal insufficiency due to Alport’s syndrome. She also had hearing problems. Two siblings died of renal failure. BCVA in RE-6/12, LE-6/24. In slit lamp examination ocular surface and cornea were normal in both eyes. Anterior capsular and subcapsular cataract in RE, anterior lenticonus in LE. IOP and fundus were normal in both eyes.LE clinically diagnosed as anterior lenticonus due to alport’s syndrome. Aberrometer showed increased higher order aberrations(2.88 microns) in internal optics. Since patient visual acuity did not improve with glasses, we planned for refractive lens exchange. Biometry was done with IOL master 700. Femtosecond Laser Assisted Cataract Surgery was planned in LE as creation of manual capsulorhexis is complicated by abnormal lens capsular structure. Surgery went uneventful ,IOL placed in bag well centered ,with desired post operative vision 6/6.
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