Scheimpflug imaging of pediatric posterior capsule rupture

Indian J Ophthalmol. 2009 May-Jun;57(3):236-8. doi: 10.4103/0301-4738.49404.

Abstract

We report a case of an 11-year-old boy who presented two days after blunt trauma to the left eye with a slingshot. On examination his best corrected visual acuity (BCVA) was 20/20 in the right eye and 20/400 in the left eye. Slit-lamp examination of the left eye revealed a Vossius ring, traumatic cataract, traumatic posterior capsule tear (PCT). The contour of the posterior capsule bulge corresponded to the edges of the PCT. Rotating Scheimpflug imaging (Pentacam 70700:Oculus, Wetzlar Germany) confirmed the traumatic cataract in the region of the PCT visualized as increased lens density at the cortex-vitreous interface. The extent of the PCT in the greatest and least dimensions was documented before and after intraocular lens (IOL) implantation. Intra-operatively, the PCT was evident and phaco-emulsification with an IOL implant was performed. Postoperatively, his BCVA improved to 20/20 in the left eye with a well-centered in-the-bag IOL as found on slit-lamp and Scheimpflug images.

Publication types

  • Case Reports

MeSH terms

  • Cataract / diagnosis*
  • Cataract / etiology
  • Child
  • Diagnostic Imaging*
  • Eye Injuries / diagnosis*
  • Eye Injuries / etiology
  • Humans
  • Lens Capsule, Crystalline / injuries*
  • Lens Implantation, Intraocular
  • Male
  • Phacoemulsification
  • Rupture
  • Visual Acuity
  • Wounds, Nonpenetrating / diagnosis*
  • Wounds, Nonpenetrating / etiology