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  • Courtesy of Yehoudit Berdugo. Submitted by Emmanuel Bettach, MD.
    File Size: 73 KB
    Cataract/Anterior Segment

    A 43-year-old male was referred to the ophthalmology clinic for a routine examination. His medical history was significant for Alport syndrome. He had been undergoing dialysis treatment due to chronic kidney disease associated with Alport syndrome. During the ocular examination, a bilateral anterior lenticonus was observed in this patient. This condition is characterized by the abnormal protrusion of the anterior surface of the crystalline lens of the eye. The slit lamp image provides a visual representation of this abnormality. Alport syndrome is a genetic disorder that manifests with kidney disease, hearing loss, and eye abnormalities. One of the common ocular findings in this syndrome is anterior lenticonus, which can lead to lenticular refractive errors and visual disturbances. Another ocular manifestation associated with Alport syndrome is Dot-and-flecks retinopathy. Regular monitoring of these ocular abnormalities is crucial as these patients may present visual and eye discomfort symptoms.