Keratoconus in a patient with Alport syndrome: A case report
Keratoconus in a patient with Alport syndrome: A case report
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DOI：
10.12998/wjcc.v7.i19.3012
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发表时间：
2019-10-06
影响因子：
1.1
通讯作者：
Hoopes, Phillip C.
中科院分区：
文献类型：
--
作者：
Moshirfar, Majid;Skanchy, David F.;Hoopes, Phillip C.
背景：已知的Alport综合征眼部表现包括前晶状体和斑点性视网膜病变。圆锥角膜在这类患者中的报道是有限的。我们报告一位阿尔波特综合征患者的断层扫描结果与圆锥角膜一致。病例总结：一名52岁女性因视力下降和流泪增加而被转介到我们的眼科诊所。两年前，她被诊断出患有阿尔波特综合症III期。经检查，发现双侧平均角膜厚度为48d，断层扫描显示圆锥角膜。结论Alport综合征合并圆锥角膜虽然是一种罕见的表现，但在回顾Alport综合征患者的眼部健康时应予以考虑，并在诊断后采取适当的治疗措施。
BACKGROUNDKnown ocular manifestations of Alport syndrome include features such as anterior lenticonus and fleck retinopathy. Reports of keratoconus in such patients are limited. We report tomographic findings consistent with keratoconus in a patient with Alport syndrome.CASE SUMMARYA 52-year-old female was referred to our ophthalmology clinic with decreased vision and increased tearing. She was diagnosed with stage III Alport syndrome two years prior. Upon examination she was found to have average keratometries of 48 D bilaterally with tomographic evidence of keratoconus.CONCLUSIONAlthough a rare presentation, concurrent Alport syndrome and keratoconus should be considered when reviewing the ocular health of Alport syndrome patients and appropriate management steps should be taken upon the diagnosis.