We present a novel surgical technique of simultaneous traumatic
cataract extraction, internal magnet removal of the intraocular
foreign body, and implantation of a posterior chamber
intraocular lens in the eyes of three patients with traumatic
cataract and ferrous intraocular
foreign body retained in the anterior part of the vitreous body. Primary corneal
wound repair,
cataract extraction, anterior
vitrectomy, removal of the intraocular
foreign body through the corneoscleral limbal incision by using intraocular magnet, and
intraocular lens implantation were performed. All intraocular
foreign bodies and corneal entry sites were not larger than 3 mm. After a median follow-up of 13.6 months (range, 9-21 months), visual acuity ranged from 0.6 to 1.0. There were no early or late postoperative complications. According to our experience, an anterior approach in the surgical technique of simultaneous
cataract extraction, intraocular
foreign body extraction and implantation of a
intraocular lens in the capsular bag is possible in selected patients with intraocular
foreign bodies positioned in the anterior vitreous, behind the lens, with no associated
retinal pathology.