title: Bilateral rupture of the posterior capsule and intraocular lens dislocation from excessive eye rubbing.
abstract: We report an unusual case of a 36-year-old woman with severe atopic eczema who developed sudden-onset reduction of vision in the right eye following excessive eye rubbing 9 years after cataract surgery. Examination identified posterior capsule rupture with dislocation of the intraocular lens (IOL) posteriorly into the vitreous cavity in the right eye and posterior capsule rupture with mild dislocation of the IOL in the bag in the left eye. To our knowledge, this is the first reported case of simultaneous bilateral posterior capsule rupture following uneventful surgery and secondary to eye rubbing.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From Addenbrookes Eye Department, Cambridge University Hospitals, Cambridge, United Kingdom. Electronic address: ramybassily@hotmail.com.
authors.forename: Ramy
authors.initials: R
authors.lastname: Bassily
authors.affiliation: From Addenbrookes Eye Department, Cambridge University Hospitals, Cambridge, United Kingdom.
authors.forename: Anna
authors.initials: A
authors.lastname: Lencova
authors.affiliation: From Addenbrookes Eye Department, Cambridge University Hospitals, Cambridge, United Kingdom.
authors.forename: Madhavan S
authors.initials: MS
authors.lastname: Rajan
mesh_terms: D000328:Adult; D060437:Artificial Lens Implant Migration / Q000209:etiology* / Q000601:surgery; D005123:Eye; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008405:Massage / Q000009:adverse effects*; D018918:Phacoemulsification; D057851:Posterior Capsular Rupture, Ocular / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D014792:Visual Acuity