Combined phacoemulsification, pars plana vitrectomy, removal of intraocular foreign body (IOFB), and primary intraocular lens implantation for patients with IOFB and traumatic cataract

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Abstract

Purpose and methods Small-incision cataract extraction by phacoemulsification through an anterior continuous circular capsulorhexis, pars plana vitrectomy, forceps removal of intraocular foreign body (IOFB) and primary intraocular lens implantation were performed in 4 eyes (4 patients) with IOFB and traumatic cataract, as an emergency combined procedure.

Results At a mean follow-up of 12.3 months (range 7-19 months) the best corrected visual acuity of the 4 eyes ranged from 6/6 to 6/12. The only complication encountered in our series was an opacified posterior capsule that developed 10 months post-operatively in one case. This was easily dealt with by neodymiumrYAG laser capsulotomy, with good final visual outcome.

Conclusions The results of combined one-stage instead of sequential surgeries, and phacoemulsification instead of lensectomy or extracapsular cataract extraction for patients with IOFB and cataract are encouraging. It could be a good option in selected cases. However, the safety and efficacy of this combined procedure need to be evaluated further by a larger-scale, longer follow-up study.

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Author information

Correspondence to Dennis S C Lam.

Additional information

This study was supported in part by the Mr W.K. Lee Eye Foundation

Presented in part at the Hong Kong Ophthalmological Symposium, December 1996, Hong Kong

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Keywords

  • Cataract
  • Continuous circular capsulorhexis (CCC)
  • Intraocular foreign body (IOFB)
  • Intraocular lens (IOL)
  • Phacoemulsification

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