A 14-year-old boy presented with a report of sudden-onset loss of vision in the right eye for the previous 10 days. The patient was diagnosed with a total cataract and ruptured posterior lenticonus. Lenticular aspiration was performed with an irrigation/aspiration probe. This was followed by anterior vitrectomy and implantation of 1-piece intraocular lens (IOL) in the capsular bag. Postoperatively, the patient had a good visual outcome with no evidence of intraocular inflammation. Although ruptured posterior lenticonus is a rare condition, it can be encountered in day-to-day-practice. In such cases, implantation of a 1-piece IOL can be safely performed if the anterior vitreous is meticulously removed.
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