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. 1978 Nov;62(11):784–787. doi: 10.1136/bjo.62.11.784

The management of lens damage in perforating corneal lacerations.

R Muga, E Maul
PMCID: PMC1043352  PMID: 568933

Abstract

Lens damage is present in 30% of perforating injuries of the anterior segment of the eye. There is no consensus on whether the cataractous lens should be removed at the initial repair of the corneal laceration or later, when the eye has recovered from injury. Twenty-seven consecutive cases with a perforating corneal injury and lens damage were alternatively treated either with simultaneous corneal suturing and cataract removal or with corneal suturing and delayed cataract removal several weeks later. The difference in the frequency of complications between the 2 groups was significant. The 1-step procedure was technically easier to perform, the period of postoperative irritation was shorter, complications due to the presence of an injured lens were prevented, and visual rehabilitation occurred earlier.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adhikary H. P., Taylor P., Fitzmaurice D. J. Prognosis of perforating eye injury. Br J Ophthalmol. 1976 Nov;60(11):737–739. doi: 10.1136/bjo.60.11.737. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Coleman D. J., Franzen L. A. Vitreous surgery; Preoperative evaluation and prognostic value of ultrasonic display of vitreous hemorrhage. Arch Ophthalmol. 1974 Nov;92(5):375–381. doi: 10.1001/archopht.1974.01010010387003. [DOI] [PubMed] [Google Scholar]
  3. Coles W. H., Haik G. M. Vitrectomy in intraocular trauma. Its rationale and its indications and limitations. Arch Ophthalmol. 1972 Jun;87(6):621–628. doi: 10.1001/archopht.1972.01000020623002. [DOI] [PubMed] [Google Scholar]
  4. Eagling E. M. Perforating injuries involving the posterior segment. Trans Ophthalmol Soc U K. 1975 Jul;95(2):335–339. [PubMed] [Google Scholar]
  5. Eagling E. M. Perforating injuries of the eye. Br J Ophthalmol. 1976 Nov;60(11):732–736. doi: 10.1136/bjo.60.11.732. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Faulborn J., Atkinson A., Olivier D. Primary vitrectomy as a preventive surgical procedure in the treatment of severely injured eyes. Br J Ophthalmol. 1977 Mar;61(3):202–208. doi: 10.1136/bjo.61.3.202. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hutton W. L., Snyder W. B., Vaiser A. Vitrectomy in the treatment of ocular perforating injuries. Am J Ophthalmol. 1976 Jun;81(6):733–739. doi: 10.1016/0002-9394(76)90355-x. [DOI] [PubMed] [Google Scholar]
  8. Maul E., Muga R. Anterior segment surgery early after corneal wound repair. Br J Ophthalmol. 1977 Dec;61(12):782–784. doi: 10.1136/bjo.61.12.782. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Perlman E. M., Albert D. M. Clinically unsuspected phacoanaphylaxis after ocular trauma. Arch Ophthalmol. 1977 Feb;95(2):244–246. doi: 10.1001/archopht.1977.04450020045008. [DOI] [PubMed] [Google Scholar]
  10. ROPER-HALL M. J. The treatment of ocular injuries. Trans Ophthalmol Soc U K. 1959;79:57–69. [PubMed] [Google Scholar]
  11. Roper-Hall M. J. A retrospective study of eye injuries. Ophthalmologica. 1969;1-3(1):12–27. doi: 10.1159/000305789. [DOI] [PubMed] [Google Scholar]

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