Primary intraocular lens implantation in the setting of penetrating ocular trauma.
OBJECTIVE
To evaluate the clinical outcome of patients who underwent lensectomy and intraocular lens (IOL) implantation at the time of primary repair of a penetrating ocular injury.


METHODS
A review of 14 patients who sustained cataracts and lens rupture in the setting of a corneal laceration to determine anatomic and visual outcome, in addition to complications related to the primary IOL.


RESULTS
The IOL remained anatomically stable in all 14 patients with no complications encountered at implantation or after surgery. Final visual acuity in 9 of the 14 patients was 20/40 or better. Six patients underwent pars plana vitrectomy for removal of an intraocular foreign body.


CONCLUSIONS
Intraocular lens implantation at the time of lensectomy and primary repair of a corneal laceration allows good visual rehabilitation with restoration of binocular function and serves as an alternative to contact lens correction in select patients.
Rubsamen
P E
PE
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine.
Irvin
W D
WD
McCuen
B W
BW
Smiddy
W E
WE
Bowman
C B
CB
D000293:Adolescent; D000328:Adult; D002387:Cataract Extraction; D002648:Child; D003315:Cornea / Q000473:pathology; D065306:Corneal Injuries; D005129:Eye Foreign Bodies / Q000601:surgery; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D016896:Treatment Outcome; D014792:Visual Acuity; D014950:Wounds, Penetrating / Q000473:pathology / Q000601:surgery*