 |
Case Report
Traumatic anterior capsule rupture in a patient with Alport syndrome without anterior lenticonus
1 Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia
Address correspondence to:
Faisal A AlTahan
Al Naeim St, Dhahran,
Saudi Arabia
Message to Corresponding Author
Article ID: 100052Z17FA2026
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
AlTahan FA, AlRushoud M. Traumatic anterior capsule rupture in a patient with Alport syndrome without anterior lenticonus. J Case Rep Images Opthalmol 2026;9(1):11–14.ABSTRACT
Introduction: To report a rare case of traumatic anterior lens capsule rupture in a patient with Alport syndrome (AS) occurring in the absence of anterior lenticonus, and to highlight the clinical course, imaging findings, and surgical considerations associated with the inherent anterior capsule fragility of AS.
Case Report: A 24-year-old male with AS presented after blunt ocular trauma with glare and reduced vision in the right eye. Examination revealed an isolated anterior lens capsule defect without cataract formation or anterior lenticonus. Over short-term follow-up, the defect progressed with early cataract formation and anterior nuclear protrusion confirmed on anterior segment optical coherence tomography. The patient underwent femtosecond laser-assisted capsulotomy and phacoemulsification with toric posterior-chamber intraocular lens implantation (PCIOL). Surgery was uneventful, and postoperative visual acuity and visual quality improved with resolution of glare.
Conclusion: Patients with AS possess intrinsically fragile anterior lens capsules due to type IV collagen defects and may develop anterior capsule rupture even without anterior lenticonus. Blunt trauma can precipitate isolated capsule dehiscence with minimal initial cataract formation, Femtosecond laser-assisted capsulotomy may offer enhanced safety in these patients by reducing the risk of capsular extension during surgery.
Keywords: Alport syndrome, Anterior capsule rupture, Traumatic cataract
SUPPORTING INFORMATION
Author Contributions
Faisal A AlTahan - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Muath AlRushoud - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2026 Faisal A AlTahan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
