Primary intraocular lens implantation in the setting of penetrating ocular trauma

Ophthalmology. 1995 Jan;102(1):101-7. doi: 10.1016/s0161-6420(95)31073-1.


Purpose: 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.

Conclusion: 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.

MeSH terms

  • Adolescent
  • Adult
  • Cataract Extraction*
  • Child
  • Cornea / pathology
  • Corneal Injuries*
  • Eye Foreign Bodies / surgery
  • Humans
  • Lenses, Intraocular*
  • Male
  • Middle Aged
  • Postoperative Period
  • Treatment Outcome
  • Visual Acuity
  • Wounds, Penetrating / pathology
  • Wounds, Penetrating / surgery*