Posters

Sequential change of posterior capsule rupture and intraocular lens subluxation caused by vigorous ocular massage: a case report

Poster Details

First Author: Y.Lee TAIWAN

Co Author(s):    W. Tsai                    

Abstract Details

Purpose:

To report the sequential change of posterior capsule rupture and later intra-ocular lens subluxation due to vigorous ocular massage.

Setting:

All the data obtained from Buddhist Tzu Chi General Hospital, Hualien, Taiwan

Methods:

Observational and interventional case study. A 42-year-old myopic professor underwent uneventful phacoemulsification in his left eye with a smooth round continuous curvilinear capsulorrhexis, intact posterior capsule and in-the-bag IOL implantation (Alcon, SN60WF, + 15.5 D) 11 years ago. He was happy with the postoperative visual acuity of 20/20 for years. However, 3 years ago, the patient came back with complaints of blurred vision of his left eye. The visual acuity corrected by his previous glasses was 20/30 (OS). Biomicroscopic examination revealed some feathery whitish material behind the pupil but in front of the IOL.

Results:

After pupil dilation, continuous curvilinear tears along the optic border of IOL and vitreous strands herniation were noted. The IOL was still well-centered. In the following months, the posterior capsule rupture progressed and subluxation of IOL was noted. A careful history taking revealed the recent habit of vigorous ocular massage. After discontinuation of the habit, the subluxated IOL was stable. Two years later, a sudden loss of vision occurred after taking a shower. Posterior dislocation of IOL was noted. Removal of the dislocated IOL and implantation of a 3-piece foldable IOL were performed. The postoperative visual acuity returned to 20/20.

Conclusions:

With pictures of each stage, we reported a case of continuous curvilinear posterior capsule tear with subsequent IOL dislocation caused by vigorous ocular massage. Vigorous ocular massage might cause damage even to a fibrotic posterior capsule.

Financial Disclosure:

None