A Case of Posterior Capsule Rupture after Blunt Ocular Trauma in a Child.

Kim, Sun A; Han, Sang Yob; Kim, Tae Hyung; Choi, Yeong Rak; Yoon, Hee Sung; Lee, Kyung Hun

Case Report

Journal of the Korean Ophthalmological Society 2006;47(9):1512-1516.
Published online September 30, 2006.

A Case of Posterior Capsule Rupture after Blunt Ocular Trauma in a Child.

Sun A Kim, Sang Yob Han, Tae Hyung Kim, Yeong Rak Choi, Hee Sung Yoon, Kyung Hun Lee

Sungmo Eye Hospital, Pusan, Korea. heesyoon@dreamwiz.com

소아에서 안구 둔상 후 발생한 수정체 후낭파열 1예

김선아,한상엽,김태형,최영락,윤희성,이경헌

Sungmo Eye Hospital, Pusan, Korea

Correspondence: Sun A Kim, M.D.

Abstract

PURPOSE
To report a case of isolated posterior capsule rupture (PCR) with cataract after blunt ocular trauma in a child. METHODS: A 6-year-old female visited our institution complaining of blurred vision (best corrected visual acuity: counting fingers at 30 cm) in the left eye three months after blunt ocular trauma. Slitlamp examination showed the cataract and PCR with intact anterior capsule. Removal of the cataract was approached via a scleral tunnel incision. Anterior vitrectomy was performed and a foldable intraocular lens (IOL) was inserted in the sulcus. RESULTS: Visual acuity was improved to 0.7 two days after the surgery and further improved to 1.0 at two months. CONCLUSIONS: An isolated PCR with cataract is a rare complication of blunt ocular trauma. We present a case of PCR after blunt ocular injury as well as a surgical procedure to safely remove the cataract via an anterior approach and implantation of the IOL in the sulcus.

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