Combined clear cornea phacoemulsification, vitrectomy, foreign body extraction, and intraocular lens implantation

To analyze the outcome of combined clear cornea phacoemulsification, vitrectomy, foreign body extraction, and intraocular lens implantation in patients with traumatic cataract and intraocular foreign body.

Retrospective analysis included the results of combined cataract and vitreoretinal surgery in 16 patients. All patients had a penetrating eye injury, traumatic cataract, and intraocular foreign body. Twelve patients had a corneal entry site and in 4 patients intraocular foreign body entered through the sclera.

After a mean follow-up of 25.2 months, 10 out of 16 patients had a visual acuity of 0.1 or better. Postoperative complications were encountered in 4 patients: 2 patients had retinal detachment, one had a massive retinal fibrosis, and one developed postoperative endophthalmitis.

Simultaneous posterior chamber intraocular lens implantation with vitreoretinal surgery is safe in certain cases of severe ocular trauma due to intraocular foreign body. Visual outcome was mainly related to the underlying posterior segment pathology.