Abstract

PURPOSE: To report an interesting and rare clinical case of spontaneous anterior lens capsule rupture in a case of Alport's syndrome.
METHOD: A 31 years old male presented with sudden painless diminution of vision in the right eye. On examination BCVA was 6/60, patient had bilateral anterior lenticonus with spontaneous rupture of anterior lens capsule in right eye and fundus examination revealed bilateral peripheral retinal flecks. Retrospectively, patient didn’t give any history of ocular trauma. Patient had sensorineural hearing loss and glomerulonephritis. The patient underwent phacoemulsification with PCIOL.
RESULT: Post operatively BCVA recorded was 6/6.
CONCLUSION: Consecutive spontaneous anterior capsular rupture of anterior lenticonus in case of Alport's syndrome is rarity.A keen eye on the first sign of anterior lens capsule splitting or cracking on follow-up of Alport's syndrome patients during adolescence is a must for early detection of anterior capsular rupture.