title: Capsulorhexis tearing pattern during phacoemulsification in anterior lenticonus due to Alport syndrome.
abstract: OBJECTIVE
  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.
authors.affiliation: Kresge Eye Institute, Wayne State University, Detroit, Michigan - USA.
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Boss
authors.affiliation: Kresge Eye Institute, Wayne State University, Detroit, Michigan - USA.
authors.forename: Mark
authors.initials: M
authors.lastname: McDermott
mesh_terms: D000328:Adult; D057971:Anterior Capsular Rupture, Ocular / Q000209:etiology / Q000473:pathology*; D057866:Anterior Capsule of the Lens / Q000293:injuries*; D019923:Capsulorhexis / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007905:Lens Diseases / Q000209:etiology / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D009394:Nephritis, Hereditary / Q000150:complications*; D018918:Phacoemulsification; D014792:Visual Acuity