Posters

Isolated anterior lenticonus: when a cone hides an alport

Poster Details

First Author: C.Mourad MOROCCO

Co Author(s): A. Arfaja   S. Belghmaidi   I. Hajji   A. Moutaouakil           

Abstract Details

Purpose:

nterior lenticonus is a rare condition in which the lens presents a conical protrusion of its anterior cortex. Sometimes isolated, it may be an ocular manifestation of Alport syndrome, a hereditary nephritis accompanied by deafness and other ocular signs such as flecked retinopathy or posterior polymorphous corneal dystrophy.

Setting:

All these manifestations are a result of a genetic defect in type IV collagen, a major component of basal membranes in the human body. The clinical aspects and therapy of anterior lenticonus and Alport syndrome are described, as well as the exploration that must begin when anterior lenticonus is discovered.

Methods:

Here we present the case of a 28-year-old patient, with no particular pathological history, who consulted for a decrease in visual acuity that has been occurring  one year ago. on ophthalmic examination, visual acuity in the right eye was normal and in the left eye was at 5/10.the slit lamp examination finds an isolated anterior lenticonus without any other lesion of the posterior or anterior segment.

Results:

after a nephrological report, the syndrome of alport was retained

Conclusions:

The clinical aspects and therapy of anterior lenticonus and Alport syndrome are described, as well as the exploration that must begin when anterior lenticonus is discovered. This exploration is essential so that this diagnosis can be made as soon as possible.

Financial Disclosure:

None