Summary:
Intralenticular Foreign Metal Bodies
Objective : The paper is concerned with the problem of extraction of foreign metal
bodies, which remained after a perforating injury in the patient´s lens. The
authors discuss early and late extraction of the opacifying lens.
Material and methods: In three successive accidents of young men (22-34 years)
the authors compare the fate of intralenticular metal bodies and the lens.
Results: All three metal bodies were extracted , at the same time also surgery of
the opacifying lens was performed with implantation of a posterior chamber
intraocular lens into the sac after continual curvilinear capsulorrhexy. The
postoperative visual acuity was 6/6.
Conclusion: With regard to contemporary possibilities of careful solution of
lenticular surgery , using high standard viscoelastic materials, it is advisable to
remove primarily the foreign body from the lens along with the damaged opacified
lens and replacement of the latter by a posterior chamber intraocular
lens as the quickest possible solution of the posttraumatic state.
Key words:
perforating eye injuries, foreign intraocular body, injuries of the lens,
cataract extraction
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