A Case of Anterior Lens Capsule Rupture from Blunt Ocular Trauma.

Jang, Hyun Duk; Kim, Dae Yune

doi:2011.52.1.103

J Korean Ophthalmol Soc > Volume 52(1); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(1):103-106.
DOI: https://doi.org/10.3341/jkos.2011.52.1.103 Published online January 15, 2011.

A Case of Anterior Lens Capsule Rupture from Blunt Ocular Trauma.

Hyun Duk Jang, Dae Yune Kim

Department of Ophthalmology, Maryknoll Hospital, Busan, Korea. daeyun115@hanmail.net

안구 둔상 후 발생한 수정체 전낭파열 1예

장현덕ㆍ김대윤

Department of Ophthalmology, Maryknoll Hospital, Busan, Korea

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.

Key Words: Anterior capsule rupture;Blunt ocular trauma;Traumatic cataract