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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


Checked for plagiarism Yes

Review by Single anonymous peer review

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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