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Isolated posterior capsular rupture following blunt head trauma
Authors Mansour A, Jaroudi M, Hamam R, Maalouf F
Received 9 September 2014
Accepted for publication 23 September 2014
Published 28 November 2014 Volume 2014:8 Pages 2403—2407
DOI https://doi.org/10.2147/OPTH.S73990
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 5
Editor who approved publication: Dr Scott Fraser
Ahmad M Mansour, Mahmoud O Jaroudi, Rola N Hamam, Fadi C Maalouf
Department of Ophthalmology, American University of Beirut, Beirut, Lebanon
Abstract: 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.
Keywords: posterior capsule rupture, forehead trauma, traumatic cataract, pediatric cataract
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