J Korean Ophthalmol Soc.  2011 Jan;52(1):103-106. 10.3341/jkos.2011.52.1.103.

A Case of Anterior Lens Capsule Rupture from Blunt Ocular Trauma

• Jang HD
• Kim DY

• KMID: 2214145
• DOI: http://doi.org/10.3341/jkos.2011.52.1.103

Abstract

PURPOSE
To report a case of isolated anterior capsule rupture with cataract after blunt ocular trauma.
CASE SUMMARY
A 38-year-old male complained of decreased visual acuity in the right eye after blunt ocular trauma 5 days earlier. The visual acuity was counting fingers at 30 cm in the right eye, and intraocular pressure, measured using an applanation tonometer, was 25 mm Hg. Slit lamp examination showed a white intumescent cataract with anterior lens capsule rupture and cortical lens material extruding into the anterior chamber. Under local anesthesia, removal of the cataract was approached via a clear corneal incision. After removal of the cataract using irrigation and aspiration, the intact posterior capsule was observed. IOL haptic was implanted in the sulcus, and IOL optic was implanted in the bag. Postoperatively, the BCVA improved in the right eye to 0.8 at 1 month, and the intraocular pressure, by the Goldmann applanation tonometer was 13 mm Hg at that time.

Keyword

Anterior capsule rupture; Blunt ocular trauma; Traumatic cataract

MeSH Terms

Adult
Anesthesia, Local
Anterior Chamber
Cataract
European Continental Ancestry Group
Eye
Fingers
Humans
Intraocular Pressure
Male
Rupture
Visual Acuity

Figure

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  Figure 1. Preoperative and intraoperative photographs. (A) Slit lamp photograph of the right eye shows the triangular shape of the anterior lens capsule rupture and white intumescent cataract (the arrows show the edge of an anterior capsule rupture). The cortical lens material extrudes into the anterior chamber. (B) Scheimflug image of Pentacam shows anterior capsule rupture with intumescent cataract and intact posterior capsule. The central anterior chamber depth is 1 mm. (C) After removal of lens cortex, intact posterior capsule is seen (arrow). (D) Specular microscopy shows normal range of endothelial cell count and pleomorphism index.

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  Figure 2. Postperative photographs 1 month after surgery. (A) The slit lamp photograph shows a well positioned IOL (haptic is located in the sulcus and optic is located in the bag). The triangular shape of anterior capsule rupture is seen. (B) Scheimpflug image shows that IOL optic is well located in the bag. And the central anterior chamber depth is normal.

Reference

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