Pole to Pole Surgery in Ocular Trauma: Standardizing Surgical Steps

Area of Science:

• Ophthalmology
• Surgical Innovation
• Ocular Trauma

Background:

• Ocular globe injuries can lead to severe visual impairment, including corneal opacity and aphakia.
• Current surgical approaches for complex ocular injuries require optimization.

Purpose of the Study:

• To describe optimized surgical steps for ocular reconstruction after globe injuries.
• To propose a revised sequence for pars plana vitrectomy, keratoplasty, and aphakia management.
• To highlight the importance of intraocular lens selection in these complex cases.

Main Methods:

• Review and reordering of surgical maneuvers for combined pars plana vitrectomy and keratoplasty.
• Discussion of aphakia treatment without capsular support.
• Emphasis on intraocular lens choice and surgical planning.

Main Results:

• A proposed sequential approach to pars plana vitrectomy combined with keratoplasty and aphakia treatment.
• Identification of advantages in specific intraocular lens choices.
• Emphasis on pre-operative planning and awareness of potential complications.

Conclusions:

• Reordering surgical steps can enhance the effectiveness and safety of ocular reconstruction.
• Careful consideration of intraocular lens implantation is crucial for long-term visual outcomes.
• A comprehensive understanding of surgical maneuvers and potential complications improves patient results.