Alport Syndrome and Femtosecond Laser-assisted Cataract Surgery

被引:3
作者
Orts-Vila, Paz [1 ]
Amparo, Francisco [2 ,3 ]
Rodriguez-Prats, Jose Luis [4 ]
Tana-Rivero, Pedro [4 ]
机构
[1] Oftalvist Alicante, Ocular Motil Sect, Alicante, Spain
[2] Harvard Med Sch, Dept Ophthalmol, Cornea Serv, Massachusetts Eye & Ear Infirm, Boston, MA 02115 USA
[3] Univ Monterrey, Dept Clin Sci, Div Hlth Sci, Monterrey, Mexico
[4] Oftalvist Alicante, Clin Vistahermosa, Dept Cataract & Refract Surg, Alicante, Spain
关键词
Alport syndrome; Anterior Lenticonus; Cataract Surgery; Femtosecond Laser; Optiwave Refractive Analysis; INTRAOCULAR-LENS IMPLANTATION; TORIC IOL IMPLANTATION; ANTERIOR LENTICONUS; OCULAR MANIFESTATIONS; BILATERAL ANTERIOR; POSTERIOR LENTICONUS; PHACOEMULSIFICATION; EXTRACTION;
D O I
10.18502/jovr.v15i2.6748
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
We report the surgical management of a patient with bilateral anterior lenticonus due to Alport syndrome using femtosecond laser-assisted cataract surgery (FLACS) and the Optiwave Refractive Analysis (ORA) system. A 38-year-old man with Alport syndrome presented to our department with visual loss due to anterior lenticonus in both eyes. Adjustments during bilateral FLACS were performed with the software's calipers to manually delineate the anterior capsulotomy. Multifocal toric intraocular lenses (IOLs) were selected and placed in the posterior chamber with the aid of intraoperative aberrometry. The intended postoperative positioning parameters for the IOL as well as the planned visual acuity and refraction were achieved. The implementation of FLACS and intraoperative wavefront aberrometry is a safe and useful surgical approach for the management of cataract in challenging cases such as patients with anterior lenticonus due to Alport syndrome.
引用
收藏
页码:264 / 269
页数:6
相关论文
共 25 条
[1]   Phacoemulsification with toric IOL implantation in Alport syndrome with anterior lenticonus having spontaneously ruptured anterior capsule [J].
Agrawal, Niraj ;
Nayak, Durga Prasad ;
Haripriya, Aravind ;
Bhuwania, Puja .
EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2015, 25 (05) :E78-E80
[2]   ANTERIOR LENTICONUS AND ALPORTS SYNDROME [J].
ARNOTT, EJ ;
CRAWFURD, MD ;
TOGHILL, PJ .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1966, 50 (07) :390-+
[3]  
Barnes Alexander C, 2017, Am J Ophthalmol Case Rep, V6, P64, DOI 10.1016/j.ajoc.2017.03.004
[4]   Clear lens phacoemulsification in Alport syndrome: refractive results and electron microscopic analysis of the anterior lens capsule [J].
Bayar, Sezin Akca ;
Pinarci, Eylem Yaman ;
Karabay, Gulten ;
Akman, Ahmet ;
Oto, Sibel ;
Yilmaz, Gursel .
EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2014, 24 (03) :345-351
[5]   Cataract surgery in patients with Alport syndrome [J].
Bellini, Luciano P. ;
Brum, Graciela S. .
EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2016, 26 (04) :E85-E85
[6]   Capsulorhexis tearing pattern during phacoemulsification in anterior lenticonus due to Alport syndrome [J].
Boss, Joseph D. ;
McDermott, Mark .
EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2016, 26 (03) :E39-E41
[7]  
Choi Jae hyuk, 2005, Korean J Ophthalmol, V19, P84
[8]   Alport syndrome - A review of the ocular manifestations [J].
Colville, DJ ;
Savige, J .
OPHTHALMIC GENETICS, 1997, 18 (04) :161-173
[9]   Laser-assisted cataract surgery versus standard ultrasound phacoemulsification cataract surgery [J].
Day, Alexander C. ;
Gore, Daniel M. ;
Bunce, Catey ;
Evans, Jennifer R. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2016, (07)
[10]   Femtosecond laser-assisted cataract surgery in Alport syndrome with anterior lenticonus [J].
Ecsedy, Monika ;
Sundor, Gubor L. ;
Takucs, Ugnes I. ;
Krunitz, Kinga ;
Kiss, Zoltun ;
Kolev, Krasimir ;
Nagy, Zoltun Z. .
EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2015, 25 (06) :507-511