Isolated posterior capsule rupture in blunt trauma: pathogenesis and management

Although blunt ocular trauma frequently-damages the crystalline lens, isolated rupture of the posterior capsule is an infrequently reported occurrence. The authors describe three patients with this unusual presentation. All patients underwent cataract extraction and intraocular lens (IOL) implantation using a limbal approach. There were no intraoperative complications. All patients achieved good postoperative visual acuity with well-positioned posterior chamber IOLs (in-the-bag in two eyes, sulcus fixated in one eye). Isolated rupture of the posterior capsule in young patients can be safely managed using the limbal approach and implantation of posterior chamber IOLs, is possible.