Primary cataract extraction and intraocular lens implantation in penetrating ocular trauma

Surgical intervention for traumatic cataracts in children: Epidemiology, complications, and outcomes

“…1 In cases of associated perforating eye injury, our preference is to perform cataract extraction as a secondary procedure, although some authors advocate primary IOL implantation at time of repair. 3 In 1995, Churchill and colleagues 4 published a retrospective review of 32 children with unilateral traumatic cataracts, the majority of whom received aphakic contact lenses after lensectomy. Complex trauma, delay in referral for lensectomy, inadequate postoperative correction of aphakia, contact lens difficulties, and problems with occlusion were associated with an adverse outcome.…”

Chorioretinectomy for perforating or severe intraocular foreign body injuries

“…All cases had a fluid-air exchange followed by sulfur hexafluoride (SF 6 ), perfluoropropane (C 3 F 8 ) or silicone oil [5000 centistokes (cs) or 1000 cs]. The surgeon removed a traumatic cataract using a pars plana lensectomy approach with sparing of the anterior capsule for future placement of a sulcus posterior chamber intraocular lens if needed [29][30][31]. Within the non-chorioretinectomy technique, a scleral buckle was either placed at the injury site with or without an encircling band.…”

Catarata pediátrica pós-trauma

“…No entanto, o nível de significância foi maior para os olhos submetidos ao tratamento cirúrgico (p<0,001) quando comparados com os olhos submetidos ao tratamento clínico (p=0,043). Diversos trabalhos na literatura apontam resultados visuais satisfatórios com implante de lente intra-ocular no tratamento da catarata traumática em crianças (2,(5)(6)(8)(9)(10)(11)(12) . O implante de LIO de câmara posterior oferece vantagens por ser um método permanente de correção óptica, fornece uma imagem retiniana estável e provoca aniseiconia mínima.…”