Isolated posterior capsular rupture following blunt head trauma

Mansour, Ahmad M.; Jaroudi, Mahmoud O; Hamam, Rola N.; Maalouf, Fadi C

doi:10.2147/opth.s73990

Cited by 13 publications

(3 citation statements)

References 16 publications

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“…Wieger's ligament acts like a “battering ram,” causing the contrecoup forces to press on the posterior capsule so that the rapid compression and expansion forces directed along the anteroposterior axis of the eye may avulse the central region of the posterior lens capsule. [ 12 13 ] In a forehead trauma damage to eye can occur in two scenarios; scenario 1 – if eye is protruded beyond the frontal line and scenario 2 – in deep-set eyes if the eyeball length is more as in highly myopic eyes, it can renders the cornea to the level of the forehead-cheek line, in both cases, the object or injury forces causing injury to the forehead, can cause trauma to the cornea.…”

Section: Discussionmentioning

confidence: 99%

Extended focal length intraocular lens implantation in posttraumatic posterior capsular rupture

Srinivasaraghavan

Kumar

Agarwal

et al. 2018

Indian J Ophthalmol

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We present a case of posterior capsular defect with traumatic cataract after blunt trauma in which an extended focal length intraocular lens (IOL) was implanted in the bag after conventional phacoemulsification and anterior vitrectomy. Anterior segment optical coherence tomography performed preoperatively aided in the confirmation and documentation of the capsular integrity. Intraoperative trocar anterior chamber (AC) maintainer allowed AC maintenance without further complications. IOL was well centered postoperatively at 6 months, and the unaided visual acuity was 20/20 for distance and N8 for near. The report showed that an extended depth of focus IOL can be placed in eyes with ruptured posterior capsule for good visual outcome in posttraumatic young eyes and it may not be considered as a relative contraindication for it.

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Section: Discussionmentioning

confidence: 99%

Extended focal length intraocular lens implantation in posttraumatic posterior capsular rupture

Srinivasaraghavan

Kumar

Agarwal

et al. 2018

Indian J Ophthalmol

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“…According to Mansour et al, isolated posterior capsule rupture in the event of blunt trauma appears rarely and only 17 cases have been reported until the year 2014. 1 None of these cases were imaged on MRI or had herniation of the lens material into the vitreous cavity.…”

Section: Discussionmentioning

confidence: 99%

Posterior capsule rupture with herniation of lens fragment following blunt ocular trauma

Chaudhary¹,

Verma²,

Sagar³

et al. 2016

IMCRJ

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Posterior capsule rupture with herniated lens fragment in the vitreous cavity on magnetic resonance imaging has not been reported in India until now; however, it has been reported in other countries. Therefore, this study reports the case of a 15-year-old boy presenting with posttraumatic loss of vision in the right eye due to posterior capsular rupture and herniation of lens material into the vitreous cavity, which was detected by B-scan ultrasonography and magnetic resonance imaging as no ophthalmic examination was possible due to the posttraumatic cataract. The patient was treated by lens aspiration with anterior chamber vitrectomy and placement of posterior chamber intraocular lens, with the patient achieving 6/6 visual acuity postoperatively. This case is unusual due to the rarity of the findings, and it highlights the crucial role of imaging in achieving timely diagnosis and surgery to restore vision in the affected eye.

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“…Traumatic cataract with isolated posterior capsule rupture is a rare complication of blunt ocular trauma and therefore demands a well‐considered and diverse approach in surgical management in order to achieve a good visual outcome 1,2 . Furthermore, there is a lack of peer‐reviewed literature reporting about such type of complication 1‐5 …”

Section: Introductionmentioning

confidence: 99%