Bilateral posterior capsule rupture and anterior vitreous prolapse from vigorous eye rubbing. uri icon

Overview

abstract

  • PURPOSE: We present the case of a 71-year-old male who developed decreased visual acuity eleven years after uncomplicated bilateral cataract extraction and in-the-bag IOL implantation following recent bouts of vigorous eye rubbing. OBSERVATIONS: On examination, the posterior capsules were ruptured centrally in both eyes, and there was anterior vitreous prolapse bilaterally. While both IOLs remained in the visual axis, there was mild bilateral decentration and resultant decreased vision. CONCLUSION AND IMPORTANCE: To the authors' knowledge, this is the first reported case of bilateral simultaneous posterior capsule rupture with anterior vitreous prolapse due to eye rubbing. Contrasting to previous case reports, this scenario demonstrates that severe eye rubbing can have variable severity and complications. Frequent and vigorous eye rubbing can be a precipitating cause of late postoperative posterior capsule rupture and should be avoided in pseudophakic patients, especially those with older IOL models.

publication date

  • February 12, 2022

Identity

PubMed Central ID

  • PMC8858988

Scopus Document Identifier

  • 85124646158

Digital Object Identifier (DOI)

  • 10.1016/j.ajoc.2022.101426

PubMed ID

  • 35243163

Additional Document Info

volume

  • 26