Reconstruction of the anterior and posterior segment of the eye after massive injury.

We treated 15 patients whose common characteristic was a severe windscreen injury (7 eyes) or an (mine) explosion trauma (8 eyes), nearly always affecting both eyes. In several operations we tried to reconstruct the anterior and posterior segments using a temporary keratoprosthesis for repair of the posterior-segment damage. In cases where the retina could be attached, the initial result was a functional stabilization and improvement. In 4 eyes we implanted an artificial iris diaphragm to prevent silicone-corneal contact. The long-term results will depend on the functionality of the ciliary body.