Indian Journal of Ophthalmology (Jan 2017)

En face optical coherence tomography findings in a case of Alport syndrome

  • In Hwan Cho,
  • Hoon Dong Kim,
  • Sang Joon Jung,
  • Tae Kwann Park

DOI
https://doi.org/10.4103/ijo.IJO_303_17
Journal volume & issue
Vol. 65, no. 9
pp. 877 – 879

Abstract

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Alport syndrome is a rare hereditary disease that is associated with retinal abnormalities such as dot-and-fleck retinopathy and temporal macular thinning. The main pathophysiological process of Alport syndrome is loss of the collagen network in the basement membrane. However, the alterations in each retinal layer have not been fully evaluated. In the case presented here, we evaluated the retina of a patient with Alport syndrome using en face optical coherence tomography (OCT). The findings suggested that the primary alterations occur in the internal limiting membrane and the retinal pigment epithelium basement membrane which is a part of the Bruch's membrane. The adjacent retinal layers are damaged subsequently. In conclusion, en face OCT could be useful in evaluating retinal abnormalities and understanding their underlying pathophysiology in Alport syndrome.

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