A Case of Anterior Lens Capsule Rupture from Blunt Ocular Trauma

Hyun Duk Jang; Dae Yune Kim

doi:10.3341/jkos.2011.52.1.103

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Jang and Kim: A Case of Anterior Lens Capsule Rupture from Blunt Ocular Trauma

Original Article

J Korean Ophthalmol Soc 2011;52(1):103-106.

Published online: 7 September 2011

DOI: https://doi.org/10.3341/jkos.2011.52.1.103

A Case of Anterior Lens Capsule Rupture from Blunt Ocular Trauma

Hyun Duk Jang, MD, Dae Yune Kim, MD

Department of Ophthalmology, Maryknoll Hospital, Busan, Korea

Address reprint requests to Dae Yune Kim, MD Department of Ophthalmology, Maryknoll Hospital #4-12 Daecheong-dong, Jung-gu, Busan 600-730, Korea Tel: 82-51-461-2549, Fax: 82-51-462-3534, E-mail: daeyun115@hanmail.net

Received 8 July 2010 Revised 9 August 2010 Accepted 15 October 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Anterior capsule rupture, Blunt ocular trauma, Traumatic cataract

References

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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.

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.

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