|Year : 2017 | Volume
| Issue : 10 | Page : 1019-1020
Anterior capsule rupture: Does this ring, ring a bell?
Sahil Thakur, Parul Ichhpujani, Suresh Kumar
Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India
|Date of Submission||19-May-2017|
|Date of Acceptance||31-Aug-2017|
|Date of Web Publication||17-Oct-2017|
Department of Ophthalmology, Government Medical College and Hospital, Sector 32, Chandigarh
Source of Support: None, Conflict of Interest: None
Keywords: Blunt trauma, lens capsule rupture, pars plana vitrectomy, transscleral fixation of the intraocular lens
|How to cite this article:|
Thakur S, Ichhpujani P, Kumar S. Anterior capsule rupture: Does this ring, ring a bell?. Indian J Ophthalmol 2017;65:1019-20
|How to cite this URL:|
Thakur S, Ichhpujani P, Kumar S. Anterior capsule rupture: Does this ring, ring a bell?. Indian J Ophthalmol [serial online] 2017 [cited 2020 Feb 24];65:1019-20. Available from: http://www.ijo.in/text.asp?2017/65/10/1019/216755
A 40-year-old Indian female presented to the emergency with a history of ocular trauma with a bicycle handle 2 days earlier. The patient had an uncorrected visual acuity of hand motion close to face and a best-corrected visual acuity of 20/200 with +10D correction.
On slit-lamp examination, the patient was found to be aphakic with anterior capsule of the lens adherent to the endothelial surface of the cornea in the shape of a membranous ring [Figure 1]. The posterior segment was not discernable due to poor media clarity. On ultrasound, a diagnosis of anterior capsule rupture with posterior dislocation of the nucleus was made [Figure 2].
|Figure 1: Diffuse illumination of anterior segment revealed 5 mm × 5 mm circular membranous disc on posterior surface of the cornea|
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|Figure 2: Biconvex lenticular body (red arrow) was seen in the vitreous cavity with no acoustic shadowing behind it, suggestive of nucleus drop on ultrasound|
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The patient underwent pars plana vitrectomy for nucleus removal with subsequent scleral fixation of intraocular lens to restore visual acuity [Figure 3].
|Figure 3: Three-month postoperative anterior segment picture with best-corrected visual acuity 20/40|
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| Discussion|| |
Anterior capsule tears are very common after penetrating injuries of the eye but are rare after blunt ocular injuries. A few tears of the anterior lens capsule from blunt injury have been reported., The anterior lens capsule may be torn by direct contusion from rapid focal indentation of the cornea on the lens (coup injury) or by a fluid-mechanical, anteriorly directed rebound of the vitreous, bursting open the anterior capsule (contrecoup injury)., In cases where no tears of the posterior capsule or vitreous prolapse occur, visual outcomes are favorable, especially if diagnosed early.
| Conclusion|| |
Blunt trauma can result in anterior capsular rupture and posterior dislocation of the nucleus. A ring-shaped membrane on the endothelial surface of the cornea may be a sentinel sign of this condition.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
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[Figure 1], [Figure 2], [Figure 3]