[Implantation microsurgery in traumatic cataract]

ECCE with IOL implantation was applied to 41 eyes. In accordance with the trauma the eyes were divided in two groups: A--traumatic cataract after contusion trauma--5 eyes (12.20%) B--traumatic cataract after perforating trauma--36 eyes (87.80%). Three of the eyes from group B are with intra-ocular foreign body. A decision for implantation microsurgery is taken individually. Primary IOL implantation was applied to 26 of the eyes (63.41%) and secondary IOL implantation--to 15 of the eyes (36.59%). Only in 4 eyes anterior chamber IOL were implanted. In the other 37 eyes the implanted IOL were posterior chamber with fixation in the ciliary sulcus area. The final visual acuity was 0.5 and higher in 30 eyes (73.17%) and 0.8-1.0 in 11 eyes (26.83%). The primary or secondary IOL implantation in traumatic cataract is a reliable and effective method that helps to oppose amblyopy, to restore the binocular function and for the visual rehabilitation of the patients. This method gives the opportunity to achieve high values of the visual acuity with insignificant complications.