Examination
Ophthalmic examination indicated reduced visual acuity in the left eye. The uncorrected visual acuity (UCVA) was 20/16 in the right eye and 20/40 in the left one. The intraocular pressure (IOP) did not differ significantly between the eyes, which were as follows: 16 mmHg in the right eye and 18 mmHg in the left eye.
An examination of the right eye by the application of a slit lamp was unremarkable. The left eye presented normal periorbital and ocular surfaces. Biomicroscopy revealed no signs of open globe injury. In contrast, it demonstrated smooth and clear cornea, and normal anterior chamber depth with no signs of hyphema or presence of cells into the anterior chamber; the pupil was round and had normal pupillary reflex to the bright light. The anterior capsule of the lens was intact, yet isolated, and longitudinal posterior capsule rupture (PCR) with posterior pole lens opacification was recognised (Figure 1). It is a rare complication of a blunt ocular trauma and thus, demands a well-considered and diverse approach in the surgical management [1][3]. The results from gonioscopy revealed a wide angle with no angle recession. Ultrasound B-scan detected flat retina and clear vitreous. Computed tomography scan for skull fractures was negative.