Pole to Pole Surgery in Ocular Trauma: Standardizing Surgical Steps

Ophthalmol Ther. 2022 Dec;11(6):1951-1959. doi: 10.1007/s40123-022-00570-3. Epub 2022 Sep 16.

Abstract

This commentary describes steps in ocular reconstruction surgery following ocular globe injuries in both the anterior and posterior segment causing corneal opacity and aphakia. The authors propose to reorder the sequence of surgical manoeuvres during pars plana vitrectomy combined with keratoplasty and aphakia treatment without capsular support and highlight the advantages in the choice of the intraocular lens to implant. A mental outline of all surgical manoeuvres, being aware of the complications that can arise during surgery and knowing the long-term benefits of making more careful choices, can make this surgery more effective and safer.

Keywords: Aphakia; Keratoplasty; Ocular globe injuries; Pars plana vitrectomy.