Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract
<b>Aim:</b> To evaluate visual outcome following pars plana vitrectomy (PPV) and intraocular foreign body (IOFB) removal through the sclerocorneal tunnel combined with simultaneous cataract extraction and sulcus-fixated intraocular lens (IOL) implantation as a single procedure in penetr...
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Wolters Kluwer Medknow Publications
2010-01-01
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doaj-e62b49e85bd744bc8c8889ccd7fd247c2020-11-25T00:20:37ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892010-01-01582115118Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataractMahapatra SantoshRao Nageswar<b>Aim:</b> To evaluate visual outcome following pars plana vitrectomy (PPV) and intraocular foreign body (IOFB) removal through the sclerocorneal tunnel combined with simultaneous cataract extraction and sulcus-fixated intraocular lens (IOL) implantation as a single procedure in penetrating ocular trauma with IOFB and traumatic cataract. <b> Materials and Methods:</b> Eighteen cases of penetrating ocular trauma with retained IOFB and traumatic cataract who underwent PPV, IOFB body removal and cataract extraction with posterior chamber IOL (PCIOL) implantation in the same sitting, between June ′04 and December ′05 were retrospectively analyzed. All the foreign bodies were removed through the sclerocorneal tunnel. <b> Result:</b> All the 18 patients were young males, with an average follow-up period of 12 months. In 12 cases the foreign body was intravitreal and in six cases it was intraretinal but extramacular. Thirteen cases had a best corrected visual acuity ranging from 20/20 to 20/60 at their last follow-up. Five cases developed retinal detachment due to proliferative vitreoretinopathy (PVR) changes postoperatively and were subsequently managed by surgery. <b> Conclusion:</b> Primary IOL implantation with combined cataract and vitreo-retinal surgery is a safe option reducing the need for two separate surgeries in selected patients with retained IOFB and traumatic cataract. This combined procedure provides good visual outcome with early rehabilitation in young working patients.http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=115;epage=118;aulast=MahapatraCombined procedureintraocular foreign bodypars plana vitrectomysmall-incision cataract surgerytraumatic cataract |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mahapatra Santosh Rao Nageswar |
spellingShingle |
Mahapatra Santosh Rao Nageswar Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract Indian Journal of Ophthalmology Combined procedure intraocular foreign body pars plana vitrectomy small-incision cataract surgery traumatic cataract |
author_facet |
Mahapatra Santosh Rao Nageswar |
author_sort |
Mahapatra Santosh |
title |
Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract |
title_short |
Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract |
title_full |
Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract |
title_fullStr |
Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract |
title_full_unstemmed |
Visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract |
title_sort |
visual outcome of pars plana vitrectomy with intraocular foreign body removal through sclerocorneal tunnel and sulcus-fixated intraocular lens implantation as a single procedure, in cases of metallic intraocular foreign body with traumatic cataract |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Ophthalmology |
issn |
0301-4738 1998-3689 |
publishDate |
2010-01-01 |
description |
<b>Aim:</b> To evaluate visual outcome following pars plana vitrectomy (PPV) and intraocular foreign body (IOFB) removal through the sclerocorneal tunnel combined with simultaneous cataract extraction and sulcus-fixated intraocular lens (IOL) implantation as a single procedure in penetrating ocular trauma with IOFB and traumatic cataract. <b> Materials and Methods:</b> Eighteen cases of penetrating ocular trauma with retained IOFB and traumatic cataract who underwent PPV, IOFB body removal and cataract extraction with posterior chamber IOL (PCIOL) implantation in the same sitting, between June ′04 and December ′05 were retrospectively analyzed. All the foreign bodies were removed through the sclerocorneal tunnel. <b> Result:</b> All the 18 patients were young males, with an average follow-up period of 12 months. In 12 cases the foreign body was intravitreal and in six cases it was intraretinal but extramacular. Thirteen cases had a best corrected visual acuity ranging from 20/20 to 20/60 at their last follow-up. Five cases developed retinal detachment due to proliferative vitreoretinopathy (PVR) changes postoperatively and were subsequently managed by surgery. <b> Conclusion:</b> Primary IOL implantation with combined cataract and vitreo-retinal surgery is a safe option reducing the need for two separate surgeries in selected patients with retained IOFB and traumatic cataract. This combined procedure provides good visual outcome with early rehabilitation in young working patients. |
topic |
Combined procedure intraocular foreign body pars plana vitrectomy small-incision cataract surgery traumatic cataract |
url |
http://www.ijo.in/article.asp?issn=0301-4738;year=2010;volume=58;issue=2;spage=115;epage=118;aulast=Mahapatra |
work_keys_str_mv |
AT mahapatrasantosh visualoutcomeofparsplanavitrectomywithintraocularforeignbodyremovalthroughsclerocornealtunnelandsulcusfixatedintraocularlensimplantationasasingleprocedureincasesofmetallicintraocularforeignbodywithtraumaticcataract AT raonageswar visualoutcomeofparsplanavitrectomywithintraocularforeignbodyremovalthroughsclerocornealtunnelandsulcusfixatedintraocularlensimplantationasasingleprocedureincasesofmetallicintraocularforeignbodywithtraumaticcataract |
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