[Intraocular correction of the aphakia in fragmentation wounds of the eye]

The authors analyze the problem of intraocular correction in patients with penetrating missile wounds of the eyeball. A total of 292 patients were examined; besides clinical, electrophysiologic and ultrasonic methods were used, as well as endothelial microscopy. In cases with nonremoved intraocular foreign bodies x-ray examination and computer tomography were employed. The patients were divided into 2 groups. Group 1 (n = 195) included patients with posttraumatic cataracts and a history of removed foreign body, Group 2 (n = 97) consisted of those with posttraumatic cataracts and a foreign body present in the eye. Traumatic cataract extraction was performed in all the patients. Implantation of an intraocular lens was found possible in 43 patients (18 ones from Group 1 and 25 from Group 2). Basing on clinical experience gained in the management of these patients, the authors have defined the indications for intraocular correction in this patient population.