Bilateral macular hole in Alport syndrome

Abstract

Objective: To describe the difficulties of the surgical approach to close bilateral macular holes due to Alport syndrome as well as its different options.
Clinical case: Case report of a 46-year-old male patient diagnosed with Alport syndrome complaining of visual loss of 20 days of evolution in the left eye. Diagnosis of macular hole in that eye was made and the patient received surgical treatment. He subsequently developed involvement of the fellow eye due to the same picture for which he underwent a surgical procedure applying the inverted flap technique.
Conclusion: Resolution of the macular hole associated with Alport syndrome was achieved with optimal results using PPV with inverted flap technique, with full anatomical closure of the macular hole on the first postoperative days after the first procedure. For this reason, this technique is considered as an effective option for structural closure of MH with positive visual and structural changes.