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Rupture of anterior lens capsule from blunt ocular injury
Journal of Cataract & Refractive Surgery, 05/22/09

Banitt MR et al. - The authors report 3 cases of blunt trauma causing rupture of the anterior lens capsule with cataract formation. The injuries were caused by a paintball gun, a ball-bearing air pistol, and an aluminum rivet. In all 3 cases, the anterior capsule tears were central and the posterior capsules and zonules intact; uneventful cataract extraction with implantation of an intraocular lens was performed. The postoperative visual acuities was 20/40 in 1 case and 20/20 in the other 2 cases. The authors propose that the anterior lens capsule may have been torn by direct contusion from rapid focal indentation of the cornea onto the lens or by a fluid-mechanical, anteriorly directed rebound of the vitreous, bursting open the anterior capsule.

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