Authors
Abstract
Purpose: To evaluate the age, gender, type of injury, occupations, ocular associations, management, and visual outcome of traumatic cataract surgery.
Methods: This observational retrospective studywas conductedon forty eyes of forty patients whounderwent surgery for traumatic cataractsatIspahani Islamia Eye Institute and Hospital From July 2021 to December 2021. All cases of traumatic cataracts were included in this study, except those lost too early follow-up. A detailed history, presenting visual acuity, ocular examination including complete anterior and posterior segment examination, to see other associated injuries, intraocular pressure assessment, and B-scan ultrasonography when required, were performed. Patients were treated medically or surgically as the case may be. The best-corrected post-operative vision was evaluated for each case. The average follow-up wasбmonths.
Results: Among study subjects 67.5% were male and 32.5% were female. The male-female ratio was 2:1 (Fig:1). The most common age group involved in the present study was 20-29 years of age. The mean age ± SD was 40 ± 19.8 years (Fig:2). In occupation students& housewives are more than 27.5% & 25% (Table -1). In our study penetrating injury was 25% of study cases and more than 50% of cases by blunt injury (Table 2), the most common ocular association was vitreous in A/C (45%) then corneal wound {22.5%). (Table -3). In this study, BCVA at presentation was less than 6/60 in 90% of study subjects (Table4). In our study duration between trauma and surgery was less than 1 month in 12.5% (Table -5). Implantation of IOL was done in the capsular bag in the posterior chamber in 21 eyes whereas 11 received it by scleral fixation (Table6). In the present study, 7 patients (17.5%) achieved "useful acuity of vision"(>6/18) at follow-up. There were, however, 08 patients who had very poor acuity of vision because of being unable to implant IOL (Table 7).
Conclusion: Surgical management of traumatic cataracts if done with a complete pre-operative evaluation, a careful surgical approach, and good post-operative management, is a safe and effective means of vision restoration. The visual outcome is limited by associated ocular structural damage.
Published In:
Ophthalmology Journal
(Volume: 50, Issue : 1)