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Ophthalmic Images
May 11, 2017

Exclusion of Traumatic Anterior Capsule Laceration Using Anterior Segment Optical Coherence Tomography

Author Affiliations
  • 1Queen Alexandra Hospital, Portsmouth, Hampshire, England
  • 2University Hospital Southampton, Southampton, England
JAMA Ophthalmol. 2017;135(5):e170124. doi:10.1001/jamaophthalmol.2017.0124

A woman in her 60s presented with a penetrating injury to the right cornea sustained on a plant. An examination revealed a small corneal laceration and a formed anterior chamber with minimal wound leakage. A possible defect of the anterior capsule was observed (Figure, A). Anterior segment optical coherence tomography imaging was performed (SPECTRALIS; Heidelberg Engineering) that confirmed that the anterior capsule was intact (Figure, B). She was treated with a bandage contact lens and observed. She remained asymptomatic with a logarithm of the minimum angle of resolution visual acuity of 0.14 log units (Snellen equivalent, 20/30 OD).

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