Spontaneous rupture of the lens capsule in hypermature XXXX : presentations and outcomes.

@entity1 @entity231 @entity4 @entity726 @entity2687 @entity3029
AIM: To describe the occurrence of spontaneous rupture of the lens capsule in @entity1 with hypermature @entity231 . STUDY DESIGN: Consecutive case series. METHODS: The records of @entity1 with hypermature @entity231 and spontaneous capsular dehiscence seen and managed at a tertiary eye care centre between August 2012 and August 2014 were reviewed retrospectively. RESULTS: 10 eyes of 10 @entity1 were identified. Best-corrected visual acuity (BCVA) was limited to light perception in all @entity1 . Three eyes had anterior dislocation of the nucleus, two had @entity3029 and in five the nucleus was presumed to have absorbed. Eight eyes (80%) demonstrated both anterior and posterior capsular tears and five eyes (50%) showed calcification spots in the capsule remnants. Other features at presentation included @entity4 (two eyes), vitritis (four eyes), raised intraocular pressure (one eye) and hypopyon (one eye). Removal of the nucleus through anterior (three eyes) or posterior route (two eyes) was carried out in all @entity1 with dislocated nucleus. Intraocular lens could be implanted in seven eyes (70%) and they had a final BCVA ranging from 6/18 to 6/36. CONCLUSION: Spontaneous lens capsule rupture can occur in @entity231 ( @entity231 ) and result in anterior or @entity3029 of the nucleus or spontaneous resorption with or without an accompanying inflammatory reaction of varying severity. An acceptable visual outcome can be obtained, except in the presence of associated @entity726 or @entity2687 .
