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The case underscores the need for heightened surgical awareness in seemingly uncomplicated cataract cases, particularly in the presence of subtle clinical history. Surgical management included anterior capsulorhexis, pars plana vitrectomy, lensectomy and sulcus intraocular lens (IOL) implantation. In cases of total cataract, it is imperative to implement preventive strategies despite seemingly unremarkable preoperative findings. Preparedness with alternative IOL options, such as a three-piece IOL, and ensuring the availability of a vitreoretinal surgical team will be helpful if anything seems abnormal.<\/jats:p>","DOI":"10.1136\/bcr-2025-268158","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T13:20:39Z","timestamp":1785158439000},"page":"e268158","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Silent rupture: unmasking a posterior capsular rupture in a seemingly uncomplicated cataract"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4144-1279","authenticated-orcid":false,"given":"Priyanka","family":"Ramanathan","sequence":"first","affiliation":[{"name":"Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Stephen","sequence":"additional","affiliation":[{"name":"Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja Shaji","family":"Kurup","sequence":"additional","affiliation":[{"name":"Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6173-5073","authenticated-orcid":false,"given":"Shreyas","family":"Temkar","sequence":"additional","affiliation":[{"name":"Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"2026072706202562000_19.7.e268158.1","doi-asserted-by":"crossref","first-page":"570","DOI":"10.36348\/sjmps.2020.v06i08.009","article-title":"Cataract Surgery Outcome in Relation to Posterior Capsular Rupture; A Retrospective Study","volume":"6","author":"Al-Saffar","year":"2020","journal-title":"SJMPS"},{"key":"2026072706202562000_19.7.e268158.2","doi-asserted-by":"crossref","first-page":"52","DOI":"10.18311\/mvpjms\/2016\/v3\/i1\/719","article-title":"Study of Intraoperative Complications in Small Incision Cataract Surgery, its Management and Visual Outcome","volume":"3","author":"Patil","year":"2016","journal-title":"MVP J Med Sci"},{"key":"2026072706202562000_19.7.e268158.3","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_1057_17"},{"key":"2026072706202562000_19.7.e268158.4","unstructured":"Posterior capsular rent: risk factors, diagnosis and management. Available: https:\/\/www.scirp.org\/journal\/paperinformation?paperid=46293 [Accessed 23 May 2025]."},{"key":"2026072706202562000_19.7.e268158.5","first-page":"364","article-title":"Dropped nucleus following phacoemulsification cataract surgery","volume":"62","author":"Tajunisah","year":"2007","journal-title":"Med J Malaysia"},{"key":"2026072706202562000_19.7.e268158.6","article-title":"Management of Posterior Capsular Rent in Cataract Surgery Patients at a Tertiary Hospital in India: A Retrospective Study","volume":"17","author":"Joshi","year":"2025","journal-title":"Cureus"},{"key":"2026072706202562000_19.7.e268158.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.76.4.238"},{"key":"2026072706202562000_19.7.e268158.8","doi-asserted-by":"crossref","first-page":"241","DOI":"10.18231\/j.ijceo.2019.057","article-title":"Phacoemulsification in uveitic cataract at a tertiary care teaching center","volume":"5","author":"Thaseen","year":"2019","journal-title":"IJCEO"},{"key":"2026072706202562000_19.7.e268158.9","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/j.jcrs.0000000000001354","article-title":"Visual outcomes and risk factors of uveitis cataract eyes after phacoemulsification and manual small-incision cataract surgery","volume":"50","author":"Shekhar","year":"2024","journal-title":"J Cataract Refract Surg"},{"key":"2026072706202562000_19.7.e268158.10","first-page":"548453","article-title":"Cataract surgery in uveitis","volume":"2012","author":"Agrawal","year":"2012","journal-title":"Int J Inflam"},{"key":"2026072706202562000_19.7.e268158.11","unstructured":"Moshirfar M , Villarreal A , Ronquillo Y . Fuchs uveitis syndrome. In: StatPearls. 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