Fish-shaped anterior capsular rupture with anterior subcapsular cataract following blunt trauma in a young man: Case report

Abstract

A 20-year-old man presented with a history of blunt trauma by a rubber ball to his right eye. His visual acuity in the affected eye was 20/120 for distance and N36 for near. The lens showed anterior capsule tear with anterior subcapsular cataract, which did not progress to maturation even after 1 month. Following initial conservative management, phacoemulsification with a three-piece monofocal intraocular lens (IOL) implantation was performed and best-corrected visual acuity (BCVA) of 20/20 was achieved. This represents one of the few cases of blunt trauma presenting as an isolated anterior capsule rupture and anterior subcapsular cataract without mature cataract formation.