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Posterior segment triple surgery after traumatic eye injuries

M Soheilian1, H Ahmadieh, M H Afghan

  • 1Department of Ophthalmology, Labbafinejad Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.

Ophthalmic Surgery
|July 1, 1995
PubMed
Summary
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This study shows that combining cataract surgery, intraocular lens implantation, and vitrectomy in one stage effectively restores vision in traumatic eye injuries. Most patients achieved significant visual improvement after this combined surgical approach.

Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Retinal Surgery

Background:

  • Traumatic eye injuries often lead to cataracts and vitreous complications.
  • Previous treatments for these complex injuries were often multi-staged and less effective.

Purpose of the Study:

  • To evaluate the efficacy of a one-stage surgical approach for traumatic cataracts and vitreoretinal complications.
  • To assess visual outcomes following combined cataract extraction, PC-IOL implantation, and vitrectomy.

Main Methods:

  • A one-stage procedure involving cataract extraction, posterior chamber intraocular lens (PC-IOL) implantation, and complete vitrectomy was performed on 16 eyes.
  • Procedures included membrane peeling and intraocular foreign-body removal as needed.
  • Surgeries were conducted 1 week to 10 years post-injury, with an average follow-up of 8 months.

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Main Results:

  • 81% of eyes (13/16) achieved a visual acuity of at least 20/200.
  • 50% of eyes (8/16) achieved a visual acuity of at least 20/40.
  • Successful removal of intraocular foreign bodies, including intraretinal ones, was noted in 6 cases.

Conclusions:

  • A one-stage combined surgery is a viable and effective treatment for traumatic cataracts with vitreoretinal issues.
  • This approach significantly improves visual acuity in patients with complex ocular trauma.
  • Early or delayed intervention with this combined technique yields favorable visual results.