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.