Alport Syndrome and Femtosecond Laser-assisted Cataract Surgery

Paz Orts-Vila; Francisco Amparo; José Luís Rodríguez-Prats; Pedro Tañá-Rivero

doi:10.18502/jovr.v15i2.6748

Alport Syndrome and Femtosecond Laser-assisted Cataract Surgery

J Ophthalmic Vis Res. 2020 Apr 6;15(2):264-269. doi: 10.18502/jovr.v15i2.6748. eCollection 2020 Apr-Jun.

Authors

Paz Orts-Vila¹, Francisco Amparo^{2

3}, José Luís Rodríguez-Prats⁴, Pedro Tañá-Rivero⁴

Affiliations

¹ Ocular Motility Section, Oftalvist Alicante, Spain.
² Cornea Service, Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
³ Department of Clinical Sciences, Division of Health Sciences, University of Monterrey, Monterrey, Mexico.
⁴ Department of Cataract and Refractive Surgery, Clínica Vistahermosa, Oftalvist Alicante, Alicante, Spain.

Abstract

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.

Keywords: Anterior Lenticonus; Cataract Surgery; Femtosecond Laser; Optiwave Refractive Analysis; Alport syndrome.