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Primary Intraocular Lens Implantation Combined with Pars Plana lensovitrectomy, and Intraocular Foreign Body Extraction. Saleh Al Amro From the Department of Ophthalmology, College of Medicine, King Saud University, Saudi Arabia Aim: To analyze visual and anatomical outcomes and safety of combined pars plana lensectomy, vitrectomy, foreign body extraction, and primary intraocular lens implantation in patients with traumatic cataract and posterior intraocular foreign body. Patients and Methods: Retrospective analysis of the outcome of combined cataract and vitreoretinal surgery with primary intraocular lens implantation in 14 consecutive patients. All patients had a penetrating eye injury, traumatic cataract, and posterior intraocular foreign body. Results: All patients were males. Mean age was 29 ± 9.01 years (range 17 – 45 years) .After a mean follow-up of 18.9 weeks, all patients vision had improved, and 10 out of 14 patients (71.4 %) had a visual acuity of 20/40 or better. Spherical equivalent of all patients was within 1 diopter from emmetropia. No significant postoperative complications were encountered in all patients. Conclusion: Simultaneous posterior chamber intraocular lens implantation with vitreoretinal surgery is safe in certain cases of ocular trauma due to posterior intraocular foreign body with excellent visual and anatomical results. |
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