The incidence of perioperative and postoperative complications was comparable with those reported in other series. Factors that increased the risk of PCR + VL included pseudoexfoliation, diabetes mellitus, and a traumatic etiology. Previous glaucoma surgery and axial myopia of greater than 26.0 mm did not increase the PCR + VL risk. Loose or broken corneal sutures was a common finding that could be reduced substantially by planned suture removal.
Using an open-loop, flexible, anterior chamber lens for secondary implantation is still an acceptable way to treat aphakia. The poor reputation of these lenses is undeserved.
SUMMARYWe have reviewed 19 patients with dart-induced perforating eye injuries. Fourteen of the injuries were in childhood. A poor visual outcome was common, not only from the injury directly but also from irreversible amblyopia or endophthalmitis. Preventive measures are considered.
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