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  • Title: Capsulorhexis tearing pattern during phacoemulsification in anterior lenticonus due to Alport syndrome.
    Author: Boss JD, McDermott M.
    Journal: Eur J Ophthalmol; 2016 Apr 12; 26(3):e39-41. PubMed ID: 26692055.
    Abstract:
    PURPOSE: 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.
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