PMC4259512_01
Mature white cataract of the left eye 1 day after blunt trauma to the forehead.
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Intumescent cataract was evident by slit-lamp examination (Figure 1).
Posterior capsular defect (arrow) is evident by B-scan of the left eye.
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B-scan revealed a flat retina, quiet vitreous, and a breached posterior capsule centrally (Figure 2).
Large oval defect of the posterior lens capsule of the left eye as noted after aspiration of most of the lens content.. Note: Arrows delineate the edge of the ruptured posterior capsule.
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After aspiration of two-thirds of the lens content, a very large, oval-shaped central posterior capsular rent was exposed (Figure 3).
Well-centered acrylic intraocular lens placed in the sulcus at the end of surgery.
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Although one-piece foldable intraocular lens implantation in the capsular bag was initially thought feasible, the intraocular lens had a tendency to dislodge into the vitreous cavity, necessitating subsequent fixation in the sulcus without further optic capture (Figure 4).