J Korean Ophthalmol Soc.  2002 Apr;43(4):692-699.

Simultaneous Phacoemulsification, Pars Plana Vitrectomy, Intraocular Foreign Body Extraction, and Intraocular Lens Implantation

• Jin YH
• Kim YY
• Kim SD

Abstract

PURPOSE: To evaluate the effectiveness of simultaneous phacoemulsification, pars plana vitrectomy, the removal of posterior intraocular foreign body(IOFB), and primary intraocular lens implantation(IOL).
METHODS
Simultaneous phacoemulsification, pars plana vitrectomy, the removal of posterior IOFB, and primary IOL implantation were performed in 10 eyes of 10 patients with ocular perforation and traumatic cataract due to posterior IOFB. The results showed no retinal detachment and endophthalmitis based on retrospective analysis.
RESULTS
The follow-up period ranged from 3 to 45months(mean 19.6 months). In 8 eyes(80%), the final visual acuity was better than 0.9 but in remaining 2 eyes, it was less than 0.5 due to postoperative retinal detachment. There were enlargement of posterior capsule rupture and vitreous prolapse into anterior chamber in 2 cases, and lens dislocation into the vitreous cavity in 1 case during phacoemulsification. IOL was implanted into the bag in 4 eyes and into the ciliary sulcus without scleral fixation in remaining 6 eyes.
CONCLUSIONS
Simultaneous phacoemulsification, pars plana vitrectomy, the removal of IOFB, and primary IOL implantation is a relatively safe operation. It provides rapid rehabilitation of the visual acuity and helps to save time and money in selected patients without the large posterior capsule rupture, retinal detachment, endophthalmitis and injury of macula and center of cornea due to IOFB.

Keyword

Intraocular foreign body; IOL implantation; Pars plana vitrectomy; Phacoemulsification.

MeSH Terms

Anterior Chamber
Cataract
Cornea
Endophthalmitis
Follow-Up Studies
Foreign Bodies*
Humans
Lens Implantation, Intraocular*
Lens Subluxation
Lenses, Intraocular*
Phacoemulsification*
Prolapse
Rehabilitation
Retinal Detachment
Retrospective Studies
Rupture
Visual Acuity
Vitrectomy*