Intraocular lens implantation in the treatment of combat ocular trauma

Purpose. The aim is to determine the type of intraocular lens in patients with combat ocular trauma and the reasons for not implanting it. Material and methods. The biometry data of 70 patients (71 eyes) aged 31.62 ± 4.42 years, operated on in the clinic of ophthalmology named after V.V. Volkov of the Kirov Military Medical Academy named after S.M. Kirov were analyzed. All patients underwent standard ophthalmologic examination and special methods of research for IOL calculation, assessment of lens and posterior segment damage. Results. In the study group, there was a prevalence of open eye trauma (82 %) over closed ocular trauma (18 %). Patients were divided into 2 groups with and without intraocular lens implantation. Among the comorbid conditions in the groups, hemophthalmos and intraocular foreign bodies (IOFB) remained the leading positions. There was a statistically significant difference in the number of traumatic cataract in patients with IOL implantation (54 %) and without it (74 %), corneal damage — 31 and 65 %, respectively. The mean time before IOL implantation was 14 days, and in most cases a monobloc IOL (SA60AT) was implanted — 89.5 %. Conclusions. In cases where IOL placement is appropriate, the modern approach and surgical technique allow implantation of monobloc flexible IOLs into the capsular bag in the prevailing percentage of cases (89.5 %) in patients with combat ocular trauma. Keywords: intraocular lens (IOL), combat ocular trauma, phacoemulsification