Program list

Result of four combined surgery in ocular injuries caused by
Intraocular foreign bodies

Peng Shaomin

Harbin, China

Purpose: To assess the outcome and complications after combined cataract extraction, vitrectomy, intraocular foreign body extraction and intraocular lens implantation surgery in patients with concomitant traumatic cataract and vitreoretinal abnormalities caused by IOFBa.
Methods: Retrospective review of 68 eyes with intraocular foreign body injuries undergoing four combined surgery. IOFBs included copper 19, iron 23, plastic 11, glass 8, stone 3, other 4. Cataract extraction included aspiration, lensectomu, phacoemulsification or fragmatome. 9 of 68 eyes had retinal detachment before operation.
Result: 100% IOFBs were successfully removed. Endophthalmitis developed in 3%. Postoperative vision improved in 71% of eyes. deteriorated in10%. PVR developed in 12%. Reoperations were needed for intravitreal hemorrhage in 4 eyes (6%), retinal detachment in 7 eyes (10%).
Conclusion: This combined cataract and vitreoretinal surgery for treatment of intraocular foreign body injuries is considered advantageous for removing peripheral vitreous, reducing the risk of endophthalmitis and PVR development. This combined surgery is important for preserving visual function and preventing complications.