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[Intralenticular metal foreign bodies]
R Mach1, L Procházková, P Susický
1Ocní oddĕlení Masarykovy nemocnice, Ustí nad Labem. radomir.mach@mnul.cz
Objective:
The paper is concerned with the problem of extraction of foreign metal bodies, which remained after a perforating injury in the patient's lens. The authors discuss early and late extraction of the opacifying lens.
Material And Methods:
In three successive accidents of young men (22-34 years) the authors compare the fate of intralenticular metal bodies and the lens.
Results:
All three metal bodies were extracted, at the same time also surgery of the opacifying lens was performed with implantation of a posterior chamber intraocular lens into the sac after continual curvilinear capsulorrhexy. The postoperative visual acuity was 6/6.
Conclusion:
With regard to contemporary possibilities of careful solution of lenticular surgery, using high standard viscoelastic materials, it is advisable to remove primarily the foreign body from the lens along with the damaged opacified lens and replacement of the latter by a posterior chamber intraocular lens as the quickest possible solution of the posttraumatic state.