Autofluorescence and spectral domain oct findings in alport syndrome

Sandeep Randhawa, Arthur D. Fu, Brandon Lujan, H. Richard McDonald, J. Michael Jumper

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: The purpose of this study was to report novel autofluorescence and spectral domain optic coherence tomography findings in a case of Alport syndrome. Methods: Case report and literature review. Results: A 30-year-old woman with a history of Alport syndrome presented with a full-thickness macular hole in her right eye and evidence of vitreofoveal traction in her asymptomatic left eye. Both eyes had temporal macular thinning. She had anterior lenticonus and perimacular flecks characteristic of Alport syndrome. In addition, fundus autofluorescence revealed an interesting pattern of splotchy hypoautofluorescence in the periphery (in the absence of any peripheral retinopathy on examination), which has not been described previously. Conclusion: Macular hole in Alport syndrome results from basement membrane weakness and an abnormal vitreoretinal interface. Although this makes surgery in these cases challenging, careful separation of the posterior hyaloid and internal limiting membrane peeling with fluid gas exchange can lead to successful closure. Alport syndrome can also cause abnormalities in the retinal pigment epithelium/Bruch membrane leading to abnormal autofluorescence.

Original languageEnglish (US)
Pages (from-to)376-379
Number of pages4
JournalRetinal Cases and Brief Reports
Volume7
Issue number4
DOIs
StatePublished - Sep 2013
Externally publishedYes

Fingerprint

Hereditary Nephritis
Retinal Perforations
Bruch Membrane
Retinal Pigment Epithelium
Traction
Basement Membrane
Gases
Tomography
Membranes

Keywords

  • Alport syndrome
  • Autofluorescence
  • Macular hole
  • Vitreoretinal traction

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Autofluorescence and spectral domain oct findings in alport syndrome. / Randhawa, Sandeep; Fu, Arthur D.; Lujan, Brandon; McDonald, H. Richard; Jumper, J. Michael.

In: Retinal Cases and Brief Reports, Vol. 7, No. 4, 09.2013, p. 376-379.

Research output: Contribution to journalArticle

Randhawa, Sandeep ; Fu, Arthur D. ; Lujan, Brandon ; McDonald, H. Richard ; Jumper, J. Michael. / Autofluorescence and spectral domain oct findings in alport syndrome. In: Retinal Cases and Brief Reports. 2013 ; Vol. 7, No. 4. pp. 376-379.
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