Spontaneous anterior lens capsule rupture in anterior lenticonus: A rare clinical entity

We report a rare case of spontaneous rupture of the anterior lens capsule (ALC) in the right eye (RE) of a patient with bilateral anterior lenticonus. A 21-year-old male presented with a gradual diminution of vision in his RE. Best corrected visual acuity (BCVA) was 6/18 in the RE and 6/9 in the left eye (LE). Slit-lamp examination revealed a ruptured ALC with central calcification in the RE and anterior lenticonus in the LE. Further systemic evaluation by a nephrologist revealed Alport syndrome. The patient underwent phacoemulsification with monofocal toric intraocular lens (IOL) implantation in the RE. Postoperatively, his uncorrected visual acuity (UCVA) improved to 6/6. This case highlights the importance of early surgical intervention and comprehensive systemic evaluation in patients with lenticonus, as timely management can significantly improve vision and quality of life.