Posterior capsule rupture with complete lens dislocation into the vitreous cavity caused by blunt trauma: a case report
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By
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Ru Yang
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Yuan Tao
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Ning Zhang
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Xing Du
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Yuanyuan Guo
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June 18, 2026
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Clinical Scorecard: Rupture of the posterior capsule and total lens dislocation into the vitreous due to blunt trauma: a case study
At a Glance
| Category | Detail |
|---|
| Condition | Complete posterior lens dislocation secondary to posterior capsule rupture |
| Key Mechanisms | Blunt ocular trauma leading to posterior capsule rupture and lens dislocation |
| Target Population | Elderly patients, specifically those with a history of blunt trauma |
| Care Setting | Ophthalmology outpatient clinic and surgical intervention |
Key Highlights
- Rare case of complete lens dislocation in a 90-year-old female
- Posterior capsule rupture with intact anterior capsule is extremely rare
- Multimodal imaging aids in diagnosis
- Surgical management included pars plana vitrectomy and scleral-fixated IOL suspension
- Postoperative visual acuity improved gradually
Guideline-Based Recommendations
Diagnosis
- Utilize multimodal imaging such as B-scan ultrasonography and AS-OCT for definitive diagnosis
Management
- Perform pars plana vitrectomy and lensectomy for lens dislocation
Monitoring & Follow-up
- Monitor visual acuity and intraocular pressure postoperatively
Risks
- Consider potential for concomitant optic neuropathy in elderly patients
Patient & Prescribing Data
90-year-old female with blunt ocular trauma
Postoperative treatment included moxifloxacin, prednisolone acetate, and tropicamide eye drops
Clinical Best Practices
- Pay special attention to the possibility of optic neuropathy in elderly patients with blunt trauma
- Ensure timely intervention to prevent complications from delayed presentation
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