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Primary Cataract Extraction and Intraocular Lens Implantation in Penetrating Ocular Trauma with Traumatic Cataract

Weinand F., Plag M., Pavlovic S.,
Justus-Liebig-Universität Gießen, Zentrum für Augenheilkunde (Gießen)

Purpose: To analyze the postoperative outcome and complication rate after lens aspiration or lensectomy with primary intraocular lens (IOL) implantation for penetrating traumatic cataract.
Method: We retrospectively reviewed the data of 15 patients who were admitted to our hospital from 1997 to 2001 because of traumatic cataract with corneal laceration with and without intraocular foreign body (IOFB). In all patients lens aspiration or lensectomy and primary IOL implantation were performed. Removal of IOFB was performed in 6 patients.
Results: The mean follow-up was 8.2 months. Nine eyes ( 60%) achieved final visual acuity of 20/40 or better, all eyes achieved 20/100 or better final visual acuity except one eye (final vision = 1/40) with additional macular pathology. Major causes of limited visual acuity were central corneal scar and in one patient photopic maculopathy. Four eyes (25%) developed secondary cataract and underwent YAG laser capsulotomy. In one patient PVR-retinal detachment had to be treated by pars-plana vitrectomy with silicone oil tamponade.
Conclusions: Primary implantation of posterior chamber lenses after penetrating ocular trauma is associated with a favourable visual outcome and a low rate of postoperative complications.

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