Management of traumatic posterior capsular rupture: corneal approach with high speed vitrector

A 15-year-old boy was referred for reduced left-eye vision 2 weeks after a blunt trauma. The presenting visual acuities were 6/12 in the right eye and counting fingers in the left eye. Examination revealed a white cataract in the left eye with loss of convexity of the anterior lens surface. Ultrasonography confirmed a ruptured posterior capsule. Removal of the lens was approached via a clear corneal cataract incision. After insertion of an anterior chamber maintainer and capsulorhexis was performed, the lens matter was removed with vitreous cutter via the cataract incision, using its cutting and aspirating modes. A foldable intraocular lens (IOL) was inserted in the capsular bag. Visual acuity improved to 6/18 1 month after surgery and further improved to 6/6 at 6 months. The IOL was stable with no decentration or posterior capsule opacification.