Anterior lens capsule rupture and traumatic cataract due to blunt ocular trauma

A 16-year-old female was struck in the right eye with a plastic toy. Two days after the trauma, she was admitted to the eye clinic with complaining of reduced vision. Best-corrected visual acuity(BCVA)was hand motion in the right eye. Slit-lamp biomicroscopy showed a lightly swollen traumatic cataract with the rupture of anterior lens capsule and mild inflammation was seen in the anterior chamber. The intraocular pressure was 16 mmHg. Ultrasonography of the posterior segment of the eye was normal. The surgery was performed using simcoe cannula through a clear corneal incision followed by implantation of a foldable, acrylic, posterior chamber intraocular lens (IOL). One month postoperatively, BCVA in the right eye was 20/20.
Blunt ocular trauma may rarely lead anterior capsular rupture and traumatic cataract in the young. Although this complication is rare, ophthalmic examination and surgery have to be performed meticulously.