Bakht Samar, Abid Nawaz, Shad Mohammad.
Lens Particle Glaucoma in Alport`s Syndrome.
Pak J Ophthalmol Jan ;11(4):118-9.

A 20-year-old male patient with Alport`s syndrome presented with acute onset of lens particle glaucoma as a result of spontaneous rupture of anterior lens capsule. Though dehiscence or spontaneous rupture of anterior lens capsule has been reported before, lens particle glaucoma as a result of it has not been described in the literature.

CASE HISTORY: A 20-year-old male patient presented to the Eye outpatient department with a history of sudden deterioration of vision and severe pain in the left eye and vomiting. Visual acuity was 6/18 in the right eye and counting fingers in the left eye. Slit-lamp examination showed corneal oedema, flare, cells, free lens particles in the anterior chamber and anterior polar cataract, on the left side. There was bilateral anterior lenticonus. The intraocular pressure was 21 mmHg in the right eye and 58 mmHg in the left eye. The right fundus was normal, while the left fundus could not be visualised adequately due to corneal oedema. He was admitted to the hospital and was given intravenous mannitol, oral acetazolamide and topical levobunolol drops to control his intraocular pressure. His urine analysis revealed 3 + albuminuria, (urine albumin 0.8 G/dl), RBCs 4-6/PHF and pus cells 4-6/PHF. Audiometry was performed which reported a sensorineural hearing loss of 50% on the right side and 30% on the left side. When the intraocular pressure was controlled and his eye became quiet he underwent an extracapsular extraction with posterior chamber intraocular lens implantation. He achieved an uncorrected vision of 6/12 in that eye.

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