Effectiveness Of Iridophacoprosthesis Implantation With Ahmed's Device In Combined Military Eye Trauma
Published 2024 - 42nd Congress of the ESCRS
Reference: PO091 | Type: Case Report | DOI: 10.82333/w3y5-b936
Authors: Natalia Veselovska (Veselovskaya) 1 , Zoya Veselovska (Veselovskaya) 1 , Orysia Bilyk 1 , Natalia Kukhar* 1
1Surgical deseases 2,Kyiv medical university,Kyiv,Ukraine
Purpose
To study the effectiveness of the Ahmed valve in the reconstruction of the anterior segment of the eye after severe combined eye injuries.
Setting
6 patients with severe penetrating wounds were operated in 3 stages: primary surgical treatment with scleral and conjunctival wounds suturing, washing out of hyphema, hardware and surgical bones reposition using the compression-distraction device (I); total posterior vitrectomy with macular shielding (II); implantation of irido-phaco-prosthesis with Ahmed's valve (III).
Report of case
Before surgery: VA - H.M. (ecc), IOP (--); after II stage: VA – H.M. (ecc), IOP – 29-30 mm. Hg. In 10 days after III stage: BCVA 0.5-0.7, IOP - 18.0-19.0 mm Hg. Postoperative treatment allowed to avoid severe inflammatory complications. In all cases there were no visible signs of an inflammatory process.
Conclusion/Take home message
Three-stage surgical treatment of severe combined injuries of the face and eyes using the combined use of an irido-phaco-prosthesis and Ahmed's flap allows the patient to restore the functional state of the eyes and face.
Key words: cataracta, surgery