Progressive hyperopic refractive changes after posterior capsule tear following blunt ocular trauma
Purpose: To describe the mechanism of progressive hyperopia and its management in the long-term course of traumatic cataract with a posterior capsule tear (PCT) following blunt ocular trauma. Observation: A 37-year-old woman presented with blurry vision and photophobia after being hit in the right e...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993624000422 |
| _version_ | 1797271321654067200 |
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| author | Teppei Shibata Yusuke Seki Yukiya Seida Tsuyoshi Yoshita Shunsuke Tsuchiya Hiroshi Sasaki Eri Kubo |
| author_facet | Teppei Shibata Yusuke Seki Yukiya Seida Tsuyoshi Yoshita Shunsuke Tsuchiya Hiroshi Sasaki Eri Kubo |
| author_sort | Teppei Shibata |
| collection | DOAJ |
| description | Purpose: To describe the mechanism of progressive hyperopia and its management in the long-term course of traumatic cataract with a posterior capsule tear (PCT) following blunt ocular trauma. Observation: A 37-year-old woman presented with blurry vision and photophobia after being hit in the right eye by a slipper. She was found to have PCT with the formation of a traumatic cataract with emmetropia (0 diopters [D]). Three years after the injury, a broader hyperopic change of +8.0 D was found in the patient at her first visit to our clinic. Optical coherence tomography (OCT) analysis of the anterior segment of the eye revealed damage to the posterior capsule and cataracts due to disorganization of the lens fibers and liquefaction of the lens. Femtosecond laser-associated cataract surgery was performed for anterior capsulotomy and segmentation of the nucleus without further enlargement of the PCT, facilitating the placement of a capsular tension ring segment and a multifocal intra ocular lens (IOL) in the capsular bag. At 1-month post-operation, her uncorrected visual acuity was 20/20 in the right eye, with a well-centered IOL. Conclusions and Importance: Isolated PCT due to blunt trauma is rare, and there have been no reports of progressive hyperopia after three years of follow-up. In such cases, the lens may liquefy, resulting in decreased refraction and significant hyperopia. |
| first_indexed | 2024-03-07T14:01:03Z |
| format | Article |
| id | doaj.art-5f2d415dda954e4491219257ff3d6ce8 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-03-07T14:01:03Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-5f2d415dda954e4491219257ff3d6ce82024-03-07T05:28:43ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-06-0134102032Progressive hyperopic refractive changes after posterior capsule tear following blunt ocular traumaTeppei Shibata0Yusuke Seki1Yukiya Seida2Tsuyoshi Yoshita3Shunsuke Tsuchiya4Hiroshi Sasaki5Eri Kubo6Department of Ophthalmology, Kanazawa Medical University, Ishikawa, JapanDepartment of Ophthalmology, Kanazawa Medical University, Ishikawa, JapanDepartment of Ophthalmology, Kanazawa Medical University, Ishikawa, JapanYoshita Eye Clinic, Ishikawa, JapanDepartment of Ophthalmology, Kanazawa University Graduate School of Medical Science, Ishikawa, JapanDepartment of Ophthalmology, Kanazawa Medical University, Ishikawa, JapanDepartment of Ophthalmology, Kanazawa Medical University, Ishikawa, Japan; Corresponding author. Department of Ophthalmology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0293, Japan.Purpose: To describe the mechanism of progressive hyperopia and its management in the long-term course of traumatic cataract with a posterior capsule tear (PCT) following blunt ocular trauma. Observation: A 37-year-old woman presented with blurry vision and photophobia after being hit in the right eye by a slipper. She was found to have PCT with the formation of a traumatic cataract with emmetropia (0 diopters [D]). Three years after the injury, a broader hyperopic change of +8.0 D was found in the patient at her first visit to our clinic. Optical coherence tomography (OCT) analysis of the anterior segment of the eye revealed damage to the posterior capsule and cataracts due to disorganization of the lens fibers and liquefaction of the lens. Femtosecond laser-associated cataract surgery was performed for anterior capsulotomy and segmentation of the nucleus without further enlargement of the PCT, facilitating the placement of a capsular tension ring segment and a multifocal intra ocular lens (IOL) in the capsular bag. At 1-month post-operation, her uncorrected visual acuity was 20/20 in the right eye, with a well-centered IOL. Conclusions and Importance: Isolated PCT due to blunt trauma is rare, and there have been no reports of progressive hyperopia after three years of follow-up. In such cases, the lens may liquefy, resulting in decreased refraction and significant hyperopia.http://www.sciencedirect.com/science/article/pii/S2451993624000422Blunt ocular traumaHyperopiaPosterior capsule tearTraumatic cataract |
| spellingShingle | Teppei Shibata Yusuke Seki Yukiya Seida Tsuyoshi Yoshita Shunsuke Tsuchiya Hiroshi Sasaki Eri Kubo Progressive hyperopic refractive changes after posterior capsule tear following blunt ocular trauma American Journal of Ophthalmology Case Reports Blunt ocular trauma Hyperopia Posterior capsule tear Traumatic cataract |
| title | Progressive hyperopic refractive changes after posterior capsule tear following blunt ocular trauma |
| title_full | Progressive hyperopic refractive changes after posterior capsule tear following blunt ocular trauma |
| title_fullStr | Progressive hyperopic refractive changes after posterior capsule tear following blunt ocular trauma |
| title_full_unstemmed | Progressive hyperopic refractive changes after posterior capsule tear following blunt ocular trauma |
| title_short | Progressive hyperopic refractive changes after posterior capsule tear following blunt ocular trauma |
| title_sort | progressive hyperopic refractive changes after posterior capsule tear following blunt ocular trauma |
| topic | Blunt ocular trauma Hyperopia Posterior capsule tear Traumatic cataract |
| url | http://www.sciencedirect.com/science/article/pii/S2451993624000422 |
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