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Sequential change of posterior capsule rupture and intraocular lens subluxation caused by vigorous ocular massage: a case report

Poster Details

First Author: Y.Lee TAIWAN

Co Author(s):    W. Tsai                    

Abstract Details


To report the sequential change of posterior capsule rupture and later intra-ocular lens subluxation due to vigorous ocular massage.


All the data obtained from Buddhist Tzu Chi General Hospital, Hualien, Taiwan


Observational and interventional case study. A 42-year-old myopic professor underwent uneventful phacoemulsification in his left eye with a smooth round continuous curvilinear capsulorrhexis, intact posterior capsule and in-the-bag IOL implantation (Alcon, SN60WF, + 15.5 D) 11 years ago. He was happy with the postoperative visual acuity of 20/20 for years. However, 3 years ago, the patient came back with complaints of blurred vision of his left eye. The visual acuity corrected by his previous glasses was 20/30 (OS). Biomicroscopic examination revealed some feathery whitish material behind the pupil but in front of the IOL.


After pupil dilation, continuous curvilinear tears along the optic border of IOL and vitreous strands herniation were noted. The IOL was still well-centered. In the following months, the posterior capsule rupture progressed and subluxation of IOL was noted. A careful history taking revealed the recent habit of vigorous ocular massage. After discontinuation of the habit, the subluxated IOL was stable. Two years later, a sudden loss of vision occurred after taking a shower. Posterior dislocation of IOL was noted. Removal of the dislocated IOL and implantation of a 3-piece foldable IOL were performed. The postoperative visual acuity returned to 20/20.


With pictures of each stage, we reported a case of continuous curvilinear posterior capsule tear with subsequent IOL dislocation caused by vigorous ocular massage. Vigorous ocular massage might cause damage even to a fibrotic posterior capsule.

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