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Contact lens fitting in a patient with Alport syndrome and posterior polymorphous corneal dystrophy: a case report

Adaptação de lentes de contato em paciente com síndrome de Alport e distrofia polimorfa posterior: relato de caso

ABSTRACT

Alport Syndrome is a hereditary disease that is caused by a gene mutation and affects the production of collagen in basement membranes; this condition causes hemorrhagic nephritis associated with deafness and ocular changes. The X-linked form of this disease is the most common and mainly affects males. Typical ocular findings are dot-and-fleck retinopathy, anterior lenticonus, and posterior polymorphous corneal dystrophy. Some cases involving polymorphous corneal dystrophy and corneal ectasia have been previously described. Here we present a case report of a 33-year-old female with Alport syndrome, posterior polymorphous corneal dystrophy, and irregular astigmatism, whose visual acuity improved with a rigid gas permeable contact lens.

Keywords:
Collagen diseases; Nephritis, hereditary; Corneal dystrophies, hereditary/ etiology; Contact lenses

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