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Capsulorhexis tearing pattern during phacoemulsification in anterior lenticonus due to Alport syndrome
Joseph D Boss1, Mark McDermott1
1Kresge Eye Institute, Wayne State University, Detroit, Michigan - USA.
Purpose:
To describe the tearing pattern during continuous curvilinear capsulorhexis in a patient with anterior lenticonus due to Alport syndrome.
Methods:
A patient with bilateral anterior lenticonus underwent successful bilateral phacoemulsification and implantation of a single-piece intraocular lens.
Results:
The capsule tore in an atypical cogwheel-like tearing pattern during capsulorhexis. This tearing pattern likely correlates to the known ultrastructural characteristics of thinning and periodic dehiscence and breaks in the anterior capsule.
Conclusions:
Knowing this tearing pattern preoperatively can help to prevent capsule runoff and capsule rupture.
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