Scheimpflug imaging of pediatric posterior capsule rupture

Grewal, Dilraj S.; Jain, Rajeev; Brar, Gagandeep; Grewal, Satinder Pal Singh

doi:10.4103/0301-4738.49404

Cited by 15 publications

(9 citation statements)

References 9 publications

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“…6,7,8 Gampanella et al 9 stated that the mechanism of posterior capsule rupture due to blunt trauma involves the anatomic relationship between the vitreous and the lens interface. According to this theory, the Wiegert ligament, which connects the anterior cortical vitreous and the posterior lens capsule, usually attaches in the midperipheral region of the lens.…”

Section: Discussionmentioning

confidence: 99%

Isolated Anterior Lens Capsule Rupture Secondary to Blunt Trauma: Pathophysiology and Treatment

Mangan

Arıcı

Tuncer³

et al. 2016

tjo

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A 25-year-old man suffered an isolated lens anterior capsular tear and mature cataract formation following blunt injury to his right eye. One week after the trauma, best-corrected visual acuity (BCVA) in the right eye was hand motion. B-scan ultrasonography showed that the lens posterior capsule was intact; no vitreous foreign body or retinal pathology were observed. Orbital computed tomography revealed narrowed anterior chamber and increased lens material volume and lens reflectivity in the injured right eye. The globe was intact and no bone fractures were observed. The cataractous lens material was removed by phacoemulsification and a foldable, acrylic, posterior chamber intraocular lens was implanted in the bag. Postoperative BCVA in the right eye was 20/20.

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Section: Discussionmentioning

confidence: 99%

Isolated Anterior Lens Capsule Rupture Secondary to Blunt Trauma: Pathophysiology and Treatment

Mangan

Arıcı

Tuncer³

et al. 2016

tjo

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“…Grewal et al reported Scheimpflug imaging of pediatric posterior capsule rupture. 7 However, images obtained by this method have limited quality in cases with significantly opaque media. Also, the equipment is not available in all the centers.…”

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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“… 13 Other diagnostic modalities, such as Scheimpflug imaging, can be especially helpful in delineating the extent of PCR, amount of residual nucleus and cortex, and presence or absence of vitreous prolapse in the anterior chamber. 8 …”

Section: Discussionmentioning

confidence: 99%

Isolated posterior capsular rupture following blunt head trauma

Mansour¹,

Jaroudi²,

Hamam³

et al. 2014

OPTH

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Closed-globe traumatic cataract is not uncommon in males in the pediatric age group. However, there is a relative paucity of literature on isolated posterior lens capsule rupture associated with closed-globe traumatic cataract. We report a case of a 6-year-old boy who presented with white cataract 1 day after blunt trauma to the forehead associated with posterior capsular rupture that was detected by B-scan ultrasonography preoperatively. No stigmata of trauma outside the posterior capsule could be detected by slit-lamp exam, funduscopy, and optical coherence tomography. Phacoemulsification with posterior chamber intraocular lens implant was performed 24 hours after trauma, with the patient achieving 6/6 visual acuity 1 week and 6 months after surgery. Our case is unique, being the youngest (amblyogenic age) to be reported, with prompt surgical intervention, and with no signs of trauma outside the posterior capsule.

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Scheimpflug imaging of pediatric posterior capsule rupture

Cited by 15 publications

References 9 publications

Isolated Anterior Lens Capsule Rupture Secondary to Blunt Trauma: Pathophysiology and Treatment

Isolated Anterior Lens Capsule Rupture Secondary to Blunt Trauma: Pathophysiology and Treatment

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

Isolated posterior capsular rupture following blunt head trauma

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