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Isolated posterior capsule rupture post blunt trauma.

Prolima Thacker1, Himali Agarwal1, Richa Agarwal2

  • 1Ophthalmology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

BMJ Case Reports
|April 25, 2025
PubMed
Summary
This summary is machine-generated.

A child experienced an isolated posterior capsule rupture (PCR) after blunt eye trauma, leading to cataract. Surgical management with an intraocular lens (IOL) resulted in excellent vision recovery.

Keywords:
Anterior chamberTrauma

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Trauma Surgery

Background:

  • Blunt eye trauma in children can cause serious ocular complications.
  • Posterior capsule rupture (PCR) is a rare but significant injury following trauma, potentially leading to cataract formation.
  • Early and appropriate management is crucial in the pediatric population to prevent amblyopia.

Purpose of the Study:

  • To report a rare case of isolated posterior capsule rupture (PCR) in a child secondary to blunt trauma.
  • To describe the surgical technique and outcomes for managing traumatic PCR with intraocular lens (IOL) implantation in a pediatric patient.
  • To emphasize the importance of timely intervention for optimal visual rehabilitation in amblyogenic age groups.

Main Methods:

  • A pediatric case presenting with blurred vision and eye redness after blunt trauma.
  • Ophthalmic examination revealing isolated posterior capsule rupture (PCR) and cataract.
  • Surgical management involving phacoaspiration and sulcus-placed foldable intraocular lens (IOL) with posterior optic capture.

Main Results:

  • Successful phacoaspiration and intraocular lens (IOL) implantation.
  • Postoperative visual acuity of 20/25 at 6 months follow-up.
  • A well-centered intraocular lens (IOL) with good ocular alignment was achieved.

Conclusions:

  • Isolated posterior capsule rupture (PCR) from blunt trauma is uncommon in children.
  • Pediatric management of traumatic PCR requires careful consideration of visual development and amblyopia prevention.
  • This case demonstrates successful visual outcome through prompt surgical intervention and appropriate intraocular lens (IOL) placement.