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Korean J Ophthalmol.  2005 Mar;19(1):84-89. 10.3341/kjo.2005.19.1.84.

Anterior Lens Capsule Abnormalities in Alport Syndrome

Affiliations
  • 1Department of Ophthalmology, College of Medicine, Konyang University, Myung Gok Eye Research Institute, Daejeon, Korea. eyedr00@yahoo.co.kr

Abstract

Alport syndrome is a hereditary, progressive disease characterized by progressive nephritis, sensorineural deafness, and ocular abnormalities, including anterior lenticonus. The ultrastructure of the lens capsule abnormalities in Alport syndrome is reported. Four anterior lens capsules from 31-year-old patient and 26-year-old patient with lenticonus who were affected by the Alport syndrome were obtained at capsulectomy. And all four anterior lens capsules were examined by transmission electron microscopy. The histopathologic findings showed that the thickness of the anterior lens capsules was decreased (4~13 micrometer) and that there were many vascular dehiscences localized at the inner part of the lens capsule. There were large numbers of capsular dehiscences containing fibrillar materials and vacuoles. The anterior capsules were clearly fragile in this disease, forming the basis for the progressive lenticonus and anterior polar cataract.

Keyword

Alport syndrome; Capsular dehiscence; Lenticonus

MeSH Terms

Adult
Epithelial Cells/ultrastructure
Humans
Lens Capsule, Crystalline/*ultrastructure
Lens Diseases/genetics/*pathology
Lens Implantation, Intraocular
Male
Nephritis, Hereditary/genetics/*pathology
Phacoemulsification
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