[Vitrectomy combined with posterior chamber intraocular lens implantation in complicated ocular injuries]

Posterior chamber intraocular lens implantation combined with lensectomy-vitrectomy and/or removal of intraocular foreign bodies in one operation was performed on 12 patients with ocular injuries involving both anterior and posterior segments. There were 6 cases with intravitreal or intraretinal foreign bodies, 3 cases with lens dislocation in the vitreous by blunt trauma and 3 cases with vitreous hemorrhage and cataract. Pre-operatively, the visual acuities of all patients ranged from light perception to 0.02, while postoperatively, their visual acuities were 0.5-1.5 in 8 cases, 0.3 in 2 cases, finger counting and 0.05 in other 2 cases which were related to optic nerve atrophy and retinal vein occlusion, respectively. The results suggest that the combined surgery benefit the fast visual rehabilitation in selected young patients with unilateral ocular injuries.