| Simultaneous Phacoemulsification, Pars Plana Vitrectomy, Intraocular Foreign Body Extraction, and Intraocular Lens Implantation. |
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Yong Hun Jin, Yun Young Kim, Si Dong Kim |
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Department of Ophthalmology, College of Medicine, Catholic University of Daegu, Korea. ykim@cuth.cataegu.ac.kr |
| 수정체유화술, 유리체절제술, 안내이물제거술 및 인공수정체삽입술의 동시수술 |
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진용헌 ( Yong Hun Jin ) , 김윤영 ( Yun Young Kim ) , 김시동 ( Si Dong Kim ) |
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| 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. |
| Key Words:
Intraocular foreign body;IOL implantation;Pars plana vitrectomy;Phacoemulsification. |
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