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Indian J Ophthalmol. 2019 Nov;67(11):1891-1893. doi: 10.4103/ijo.IJO_586_19.

Femtosecond laser-assisted cataract surgery in Alport's syndrome - A case report.

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Department of Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Pondicherry, India.


Alport's syndrome with anterior lenticonus poses significant challenges during capsulorhexis with high chances of peripheral extension. We report a case of 23-year-old lady with Alport's syndrome with anterior lenticonus in the left eye that underwent successful femtosecond laser-assisted cataract surgery (FLACS). The anterior lenticonus was eccentric nasally; hence, the FLACS capsulotomy was positioned slightly nasally so that the capsulotomy margin was outside the cone base. The distance vision improved from 6/24 to 6/6 at one-month follow-up. In summary, FLACS improved the safety of cataract surgery in an eye with anterior lenticonus and yielded excellent visual outcomes.


Anterior lenticonus; cataract surgery; femtosecond laser


Conflict of interest statement

There are no conflicts of interest.

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