Scheimpflug imaging of pediatric posterior capsule rupture.
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.
Grewal
Dilraj Singh
DS
Grewal Eye Institute, Madhya Marg, Chandigarh - 160 009, India. dilraj@gmail.com
Jain
Rajeev
R
Brar
Gagandeep Singh
GS
Grewal
Satinder Pal Singh
SP
D002386:Cataract / Q000175:diagnosis* / Q000209:etiology; D002648:Child; D003952:Diagnostic Imaging; D005131:Eye Injuries / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000293:injuries*; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification; D012421:Rupture; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000209:etiology