Three Cases of the Anterior Capsular Rupture of Lens Caused by Chestnut Bur Injury

Seo, Jeong Hun; Hyung, Sungmin

Case Report

Korean Journal of Optometry and Vision Science 2007;6(1):94-98.
Published online December 20, 2007.

밤가시에 찔린 후 수정체 전낭이 파열된 3예

서정훈, 형성민

Department of Ophthalmology, Chungbuk National University College of Medicine, Chungbuk, Korea

Three Cases of the Anterior Capsular Rupture of Lens Caused by Chestnut Bur Injury

Jeong Hun Seo, Sungmin Hyung

Abstract

Purpose
To report three cases of anterior capsular rupture in lens caused by chestnut bur injury with good final visual acuity postoperatively. Methods: At the first visit, two patients showed corneal perforation with leakage caused by chestnut bur injuries and anterior capsular ruptures in lens. They were treated with removal of chestnut bur from cornea, extracapsular cataract extraction and intraocular lens implantation (PMMA). Third patient was treated with removal of chestnut bur at out patient office and then treated with phacoemulsification and foldable intraocular lens implantation. Results: Case 1 showed the macular edema so the visual acuity was poor as 20/300, but visual acuity was recovered into 20/22 at 6 months postoperatively. The visual acuity of case 2 was 20/25 at postoperative two months, and no abnormal finding was found during the follow-up period. The visual acuity of case 3 was 20/20 at two months and no abnormal findings was found postoperatively. Conclusions: We report three cases of anterior capsular ruptures in lens caused by chestnut bur injuries. The prompt and proper treatments brought about good results. (Korean J Optom Vis Sci 2007;6(1):94-98)

Key Words: Chestnut bur injury, Corneal perforation, Traumatic cataract