Simultaneous posterior chamber intraocular lens implant combined with vitreoretinal surgery for intraocular foreign body injuries

Tyagi, Ajai K; Kheterpal, Sundeep; Callear, A B; Kirkby, G R; Price, Nicholas J.

doi:10.1038/eye.1998.55

Cited by 27 publications

(16 citation statements)

References 17 publications

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“…Primary IOL implantation has also been studied with good outcomes in various studies. [17181920] However, biometry in injured eyes or taking fellow eye measurements for the power calculation are still debatable. Mahapatra et al .…”

Section: Discussionmentioning

confidence: 99%

23-gauge vitrectomy with intraocular foreign body removal via the limbus: An alternative approach for select cases

Singh

Bhalekar

Dogra

et al. 2014

Indian J Ophthalmol

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Purpose:To study the outcome of removal of retained intraocular foreign bodies (RIOFBs) via limbus using 23-gauge transconjunctival sutureless vitrectomy (TSV).Materials and Methods:In this prospective, non-comparative interventional case series, fourteen eyes of 14 patients fulfilling the inclusion criteria were enrolled. They underwent 23-gauge TSV for management of posterior segment RIOFB and reviewed at 1 day, 7 days, 6 weeks, 3, 6 and 12 months. Eyes with penetrating eye injury involving cornea or limbus (corneal injury not so severe to hinder vitrectomy), cataract associated with anterior and/or posterior capsular tear requiring cataract surgery and posterior segment RIOFB with minimal posterior segment involvement were included. Main outcome measures include success in removal of RIOFB without enlarging sclerotomy, ability to preserve capsular support, improvement in visual acuity and complications, if any.Results:All eyes underwent the successful RIOFB removal through limbal port without enlarging scleral ports. None of the eyes required suturing of the sclera, cornea or conjunctiva. Anterior capsular rim could be preserved in all eyes except one. Postoperatively follow up ranged from one year in 8, 6 months in 4 and 3 months in 2 eyes. The mean logMAR visual acuity at 3, 6, and 12 months showed significant improvement. There were no intraoperative complications. Postoperative complications include microscopic hyphema and loose blood in vitreous cavity in one eye.Conclusion:The advantages of 23-gauge TSV for removal of RIOFB may be passed on to select cases. RIOFB removal through limbal route obviated the need for scleral port enlargement and preserved capsular support for early visual rehabilitation.

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Section: Discussionmentioning

confidence: 99%

23-gauge vitrectomy with intraocular foreign body removal via the limbus: An alternative approach for select cases

Singh

Bhalekar

Dogra

et al. 2014

Indian J Ophthalmol

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“…Tyagi et al . [6] reported visual acuity of 20/30 or better in eight out of 10 patients who underwent simultaneous cataract extraction, vitreoretinal surgery, removal of IOFB and posterior chamber IOL implantation for ocular trauma due to IOFB. Lam et al .…”

Section: Discussionmentioning

confidence: 99%

“…Combined cataract and vitreous surgery with FB removal and IOL implantation offers not only faster visual rehabilitation[6] but also reduces the number of hospital stays. [2425]…”

Section: Discussionmentioning

confidence: 99%

Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract

Mahapatra¹,

Rao²

2010

Indian J Ophthalmol

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Aim:To evaluate visual outcome following pars plana vitrectomy (PPV) and intraocular foreign body (IOFB) removal through the sclerocorneal tunnel combined with simultaneous cataract extraction and sulcus-fixated intraocular lens (IOL) implantation as a single procedure in penetrating ocular trauma with IOFB and traumatic cataract.Materials and Methods:Eighteen cases of penetrating ocular trauma with retained IOFB and traumatic cataract who underwent PPV, IOFB body removal and cataract extraction with posterior chamber IOL (PCIOL) implantation in the same sitting, between June '04 and December '05 were retrospectively analyzed. All the foreign bodies were removed through the sclerocorneal tunnel.Result:All the 18 patients were young males, with an average follow-up period of 12 months. In 12 cases the foreign body was intravitreal and in six cases it was intraretinal but extramacular. Thirteen cases had a best corrected visual acuity ranging from 20/20 to 20/60 at their last follow-up. Five cases developed retinal detachment due to proliferative vitreoretinopathy (PVR) changes postoperatively and were subsequently managed by surgery.Conclusion:Primary IOL implantation with combined cataract and vitreo-retinal surgery is a safe option reducing the need for two separate surgeries in selected patients with retained IOFB and traumatic cataract. This combined procedure provides good visual outcome with early rehabilitation in young working patients.

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“…Although some patients with intra-ocular foreign body can have an IOL inserted as a primary procedure [13, 17, 26]we had 2 patients who were not suitable for primary IOL implantation. The first case had damage to the lens-zonule complex and was thought to have a high risk of postoperative RRD.…”

Section: Discussionmentioning

confidence: 99%

Combined Phaco-Emulsification Cataract Extraction and Pars plana Vitrectomy without Intra-Ocular Lens Implantation

Jackson¹,

Larsson²,

Tanner³

et al. 2001

Ophthalmologica

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Purpose: To report the indications, surgical technique and visual outcome of combined phaco-emulsification cataract surgery and three-port pars plana vitrectomy (CPPV) in patients unsuitable for primary intra-ocular lens (IOL) implantation. Method: A 4-year review in a tertiary referral hospital. Results: Thirty patients (30 eyes) had CPPV without primary IOL insertion. The patients had a mean pre-operative logMAR acuity of 1.81 (SD 0.49) which improved to 1.50 (SD 0.72) postoperatively (p = 0.036). Conclusion: CPPV with primary IOL insertion is now an established surgical technique. This series suggests that patients with contra-indications to primary IOL insertion may also benefit from CPPV.

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Simultaneous posterior chamber intraocular lens implant combined with vitreoretinal surgery for intraocular foreign body injuries

Abstract: Simultaneous posterior chamber IOL implant with vitreoretinal surgery is safe in selected cases of severe ocular trauma due to IOFB. It allows early visual rehabilitation of young, working patients.

Cited by 27 publications

References 17 publications

23-gauge vitrectomy with intraocular foreign body removal via the limbus: An alternative approach for select cases

23-gauge vitrectomy with intraocular foreign body removal via the limbus: An alternative approach for select cases

Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract

Combined Phaco-Emulsification Cataract Extraction and Pars plana Vitrectomy without Intra-Ocular Lens Implantation

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