title: [Bilateral visual loss in a young male patient].
abstract: We present the case of a 36-year-old male patient who presented with an increasing bilateral loss of vision which had existed for several years. Slit-lamp examination revealed a conical anterior protusion of the lens and funduscopy showed a discreet perimacular dot and fleck retinopathy. In consideration of all clinical findings the patient was diagnosed with anterior lenticonus as an ocular manifestation of an Alport's syndrome which is a rare X-linked disease. Besides renal failure and hearing loss which occur early, ocular changes usually manifest later on. Patients with a anterior lenticonus can be effectively treated with phacoemulsification and intraocular lens implantation. The visual outcome after surgery is excellent.
authors.affiliation: UNI-Klinikum Carl Gustav Carus Klinik u.Poliklinik f.Augenheilkunde, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. naim.terai@uniklinikum-dresden.de
authors.forename: N
authors.initials: N
authors.lastname: Terai
authors.forename: F
authors.initials: F
authors.lastname: Raiskup
mesh_terms: D000328:Adult; D006801:Humans; D007905:Lens Diseases / Q000601:surgery*; D008297:Male; D009394:Nephritis, Hereditary / Q000175:diagnosis* / Q000601:surgery*; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology* / Q000601:surgery*