First Author: P.Krasnicki POLAND
Co Author(s): D. Dmuchowska Z. Mariak
Purpose:
The aim was to remove a traumatic cataract and intraocular foreign body (IOFB) with a minimal approach.
Setting:
: Patient was admitted to hospital due to a penetrating injury caused by a piece of wood that injured the anterior capsule and led to the complicated white cataract and posterior synechiae. The IOFB was located intracorneally and protruded into the anterior chamber. The status of the posterior capsule was unknown.
Methods:
The ab interno IOFB removal, modified phacoemulsification, synechiae removal and sulcus IOL insertion is presented. Simultaneously, the patient underwent antimicrobial and antiinflammatory treatment.
Results:
With the minimal approach the traumatic cataract and IOFB were removed and IOL implanted, resulting in visual recovery from hand movements to full visual acuity. The patient did not develop endophthalmitis.
Conclusions:
IOFB that enters the eye through the cornea can cause the anterior capsule rupture, whereas the posterior capsule may stay intact. This enables slightly modified phacoemulsification procedure and sulcus IOL implantation with favorable outcome.
Financial Disclosure:
None
