Surgical Management of Anterior Lenticonus in a Patient with Alport´s Syndrome

Background: To discuss ophthalmic features and management of a patient with Alport´s syndrome and anterior lenticonus. Materials and Methods: A 22-year-old female patient with Alport´s syndrome who, in another center, had undergone laser in situ keratomileusis (LASIK) because of high myopia was determined to have bilateral anterior lenticonus. We treated the other eye by phacoemulsification and intraocular lens (IOL) implantation. Results: Lens extraction and IOL implantation gave satisfactory results. The eye undergone LASIK was rehabilitated by a contact lens. Conclusion: As anterior and/or posterior lenticonus is easily overlooked, careful evaluation of patients with high refractive errors is essential before any decision for refractive surgery. Treatment of lenticonus should be by lens extraction and IOL implantation.