DOI: https://doi.org/10.36347/sjmcr.2026.v14i02.006

Pages: 202-204

A 43-year-old man was referred to our department for ophthalmic examination as a candidate for simultaneous liver and kidney transplantation. The underlying cause of liver and kidney failure had not been identified. The examination of the anterior segment revealed posterior polymorphous corneal dystrophy and corneal guttata. Fundus examination confirmed bilateral foveal sparing perimacular fleck retinopathy. Optical coherence tomography demonstrated symmetrical temporal retinal thinning. Based on these findings, Alport syndrome was strongly suspected. Clinician should be aware of the importance of evaluating ophthalmic examinations in patients with unexplained renal dysfunction.