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

Article metrics


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.

Access optionsAccess options

Rent or Buy article

Get time limited or full article access on ReadCube.


All prices are NET prices.


  1. 1

    Soheilian M, Ahmadieh H, Afghan MH, Sajjadi SH, Azarmina M, Peyman GA . Posterior segment triple surgery after traumatic eye injuries. Ophthalmic Surg 1995;26:338–12.

  2. 2

    Rubsamen PE, Irvin WD, McCuen BW 2nd, Smiddy WE, Bowman CB . Primary intraocular lens implantation in the setting of penetrating ocular trauma. Ophthalmology 1995;102:101–7.

  3. 3

    Slusher MM, Greven CM, Vu DD, Posterior chamber intraocular lens implantation combined with lensectomy-vitrectomy and intraretinal foreign-body removal. Arch Ophthalmol 1992;110:127–9.

  4. 4

    Sneed SR, Weingeist TA . Management of siderosis bulbi due to a retained iron-containing intraocular foreign body. Ophthalmology 1990;97:375–9.

  5. 5

    Gimbel HV, Neuhann T . Development, advantages, and methods of the continuous circular capsulorhexis technique. I Cataract Refract Surg 1990;16:31–7.

  6. 6

    Thim K, Krag S, Corydon L, Stretching capacity of capsulorhexis and nucleus delivery. J Cataract Refract Surg 1991;17:27–31.

  7. 7

    Pieramici DJ, Capone A Jr, Rubsamen PE, Roseman RL . Lens preservation after intraocular foreign body injuries. Ophthalmology 1996;103:1563–7.

  8. 8

    Blankenship GW, Flynn HW Jr, Kokame GT . Posterior chamber intraocular lens insertion during pars plana lensectomy and vitrectomy for complications of proliferative diabetic retinopathy. Am J Ophthalmol 1989;108:1–5.

  9. 9

    Mackool RJ . Pars plana vitrectomy and posterior chamber intraocular lens implantation in diabetic patients [letter]. Ophthalmology 1989;96:1679–80.

  10. 10

    Zetterstrom C, Kugelberg U, Oscarson C . Cataract surgery in children with capsulorhexis of anterior and posterior capsules and heparin- surface-modified intraocular lenses. J Cataract Refract Surg 1994;20:599–601.

  11. 11

    Cauwenberge FV, Rakic JM, Galand A . Complicated posterior capsulorhexis: aetiology, management, and outcome. BrJ Ophthalmol 1997;81:195–8.

  12. 12

    Senn P, Schipper I, Perren B . Combined pars plana vitrectomy, phacoemulsification, and intraocular lens implantation in the capsular bag: a comparison to vitrectomy and subsequent cataract surgery as a two-step procedure. Ophthalmic Surg Lasers 1995;26:420–8.

  13. 13

    Hurley C, Barry P . Combined endocapsular phacoemulsification, pars plana vitrectomy, and intraocular lens implantation. J Cataract Refract Surg 1996;22:462–6.

  14. 14

    Koenig SB, Han DP, Mieler WF, Abrams GW, Jaffe GJ, Burton TC . Combined phacoemulsification and pars plana vitrectomy. Arch Ophthalmol 1990;108:362–4.

Download references

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

Rights and permissions

Reprints and Permissions

About this article


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

Further reading