Lens Capsule Rupture

rDVM Quick Reference Guide for this Ophthalmic Emergency

  • Physical Examination
  • CBC/Chemistry (Including Blood Glucose)
  • Topical IOP Control (Avoid Miotics)
  • Topical Anti-Inflammatories
  • Systemic Anti-Inflammatories
  • Systemic Analgesia
  • Refer to Specialist Evaluation and Treatment

Lens induced uveitis associated with lens capsule rupture is known as phacoclastic uveitis. This is a much more severe inflammatory response than is seen in phacolytic uveitis. If left untreated, phacoclastic uveitis typically results in secondary glaucoma and loss of vision within several weeks. In patients that have a ruptured lens capsule due to a penetrating wound or a rapidly developing cataract, a brief physical examination and basic labwork (CBC/Chemistry) should be performed. Evaluation of intraocular pressures by rebound/applanation tonometry is essential. Treatment typically comprises topical and systemic steroidal or non-steroidal anti-inflammatories (depending on the patient’s health and physician preference.) Topical and systemic antimicrobials may be advised if the ruptured lens occurred in association with a penetrating wound. Referral for treatment and prompt surgical extraction of lens material is necessary.