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Epilenticular intraocular lens implantation in traumatic cataract with a ruptured posterior capsuleS. Pavlovic, F. Weinand
Purpose: In this video a case of rapidly progressing traumatic cataract due to posterior capsule rupture after nonpenetrating ocular injury is presented, as well as a surgical procedure to safely implant the intraocular lens (IOL) in such traumatized eye.
Methods: A one-piece PMMA-IOL was implanted prior to cataract extraction into the ciliary sulcus in front of the cataractous lens. Subsequently, the cataract was removed by pars plana lensectomy.
Results: The surgery and postoperative course were uneventful. Postoperative visual acuity improved from hand motions to 20/25.
Conclusions: We present an easy and successful method of IOL implantation in cases of rapidly progressing traumatic cataract due to posterior capsule rupture after a blunt ocular trauma.
Department of Ophthalmology, Justus Liebig University, Friedrichstr 18, D-35385 Gießen