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1、TheJournalofInternationalMedicalResearch2008;36:1440–1444ClearLensPhacoemulsificationwith
ContinuousCurvilinearCapsulorhexis
andFoldableIntraocularLensImplantationfortheTreatmentofaPatientwithBilateralAnteriorLenticonusduetoAlportSyndromeYBLIU1,SJTAN1,ZYSUN2,XLI1,BYHUANG1A
2、NDQMHU11DepartmentofOphthalmology,and2DepartmentofPlasticSurgery,FirstAffiliated
HospitalofGuangxiMedicalUniversity,Nanning,ChinaThecaseofa29-year-oldmanisreportedlenscapsule,surgicaltreatmentwaswhopresentedwithagraduallyrequired.Clearlensphacoemulsificationprogressive,pain
3、lessdecreaseinvisionwithcontinuouscurvilinearcapsulorhexisover10years.Anteriorsegmentandfoldableintraocularlensexaminationwithaslitlamprevealedimplantationwereperformedineacheyeanteriorlenticonusinbotheyes.The2daysapart.Oneweekaftersurgery,patienthadpreviouslybeendiagnosed
4、visualacuitywasexcellentinbotheyes.withbilateralsensorineuraldeafness,Clearlensphacoemulsificationwithhoweverinvestigationsrevealedcontinuouscurvilinearcapsulorhexisandmicroscopichaematuriaandrenalfoldableintraocularlensimplantationinsufficiencythatsubsequentlyledtoawasasa
5、feandeffectivetherapeuticchoicediagnosisofclassicalAlportsyndrome.inthispatientforthemanagementofSincethepatient’squalityofvisionwasanteriorlenticonusduetoAlportseverelyaffectedbythebulginganteriorsyndrome.KEYWORDS:ALPORTSYNDROME;ANTERIORLENTICONUS;PHACOEMULSIFICATION;INTR
6、AOCULARLENSIMPLANTATIONIntroductionAlportsyndromeconsistsoftheclinicaltriadmorphologicalcriteria.AccordingtoFlinterandChantler,2atleastthreeofthefollowingofhereditaryprogressivenephritis,criterianeedtobepresent:apositivefamilysensorineuraldeafnessandocularhistoryofhaematur
7、iawithorwithout
abnormalities.1ThediagnosisofAlportprogressiontoend-stagerenaldisease;syndromeisbasedonclinicalandprogressivesensorineuralhearingloss;1440YBLiu,SJTan,ZYSunetal.SurgicaltreatmentofanteriorlenticonusduetoAlportsyndromecharacteristicocularchanges(anteriorexami
8、nationwithaslitlamprevealedlenticonusand/ormaculopathy);andnormalcorneasandanteriorlentic