Volume: 8 Issue: 2
Year: 2020, Page: 20-23, Doi: https://doi.org/10.47799/pimr.0802.07
Background and Objectives: Ocular trauma can lead to development of cataract when natural lens is damaged by either blunt or penetrating injury. The management of traumatic cataract follows the same principle as for senile cataract but associated damage to ocular tissues and several post-operative complications may lead to suboptimal visual outcome. This study was conceptualized to evaluate the visual outcomes following management of traumatic cataracts.
Material and Methods: This prospective, longitudinal study was conducted on 80 patients with traumatic cataract in tertiary care centre. Patients were managed surgically and were followed up for a period of six months. Visual acuity was measured at every follow-up visit and any post-operative complications were noted and managed, accordingly. Final visual acuity was assessed at the end of six months.
Results: Maximum cases of traumatic cataract (53.75%) were observed in age group of <20 years with male to female ratio of 2.63:1. Maximum patients (92.15%) were implanted posterior chamber intraocular lens, either as a primary or secondary procedure. Uveitis and posterior capsular opacification were most common post-operative complications (30%) and 68.75% cases achieved a final visual acuity of 6/6-6/ 18 at the end of six months.
Conclusions: Traumatic cataract is an important cause of ocular morbidity specially in young patients. Surgery in cases of traumatic cataract can yield good visual outcomes if posterior segment is not involved and if post-operative complications are managed efficiently.
Keywords: Cataract; Eye injuries; Visual Acuity; Intraocular Lens; Cataract Extraction.
1. Katz J, Tielsch JM. Lifetime prevalence of ocular injuries from the Baltimore eye survey. Arch Ophthalmol 1993;111:1564 -8.
2. Ngrel AD, Thylefors B. The global impact of eye injuries. Ophthalmic Epidemiol 1998;5:143-69.
3. Vats S, Murthy GV, Chandra M, Gupta SK, Vashist P, Gogoi M. Epidemiological study of ocular trauma in an urban slum population in Delhi, India. Indian J Ophthalmol 2008;56:313-6.
4. Kuhn F, Morris R, Witherspoon CD, et al. The birmingham eye trauma terminology system (BETT). J Fr Ophtalmol 2004;27(2):206-10.
5. Bekibele CO, Fasina O. Visual outcome of traumatic cataract surgery in Ibadan, Nigeria. Niger J Clin Pract 2008;11(4):372–5.
6. Koenig SB, Ruttum MS, Lewandowski MF, et al. Pseudophakia for traumatic cataracts in children. Ophthalmology 1993;100(8):1218–24.
7. Mohammadpour M, Jafarinasab MR, Javadi MA. Outcomes of acute postoperative inflammation after cataract surgery. Eur J Ophthalmol 2007;17(1):20-8.
8. Hemo Y, BenEzra D. Traumatic cataracts in young children. Correction of aphakia by intraocular lens implantation. Ophthalmic Paediatr Genet 1987;8(3):203–7.
9. Awner S, Buckley EG, DeVaro JM, et al. Unilateral pseudophakia in children under 4 years. J Pediatr Ophthalmol Strabismus 1996;33(4):230-6.
10. Sofi IA, Bharti AR, Gupta SK, et al. Visual outcome and post-operative complications of traumatic cataract. J. Evolution Med. Dent. Sci. 2016;5(38):2307-10.
11. Zaman M, Iqbal S, Sanaullah, et al. Frequency and visual outcome of traumatic cataract. J Postgrad Med Inst 2006;20(4):330-4.
12. Bhandari AJ, Jorvekar SA, Singh P, et al. Outcome after cataract surgery in patients with traumatic cataract. Delta J Ophthalmol.2016;17:56-8.
13. Panda A, Kumar S, Das H, et al. Striving for the perfect surgery in traumatic cataract following penetrating trauma in tertiary care hospital in eastern Nepal. J Nepal Med Assoc 2007;46(167):119-25.
14. Memon MN, Narsani AK, Nizamani NB. Visual outcome of unilateral traumatic cataract. J Coll Physicians Surg Pak 2012;22(8):497-500.
15. Synder A, Kobielska D, Omulecki W. Intraocular lens implantation in traumatic cataract. Klin Oczna 1999;101(5):343-6.
16. Staffieri SE, Ruddle JB, Mackey DA. Rock, Paper and scissors? Traumatic pediatric cataract in Victoria 1992- 2006. Clin Experiment Ophthalmol 2010;38(3):237-41.
17. Shah MA, Shah SM, Shah SB, et al. Morphology of traumatic cataract: does it play role in final visual outcome. BMJ Open 2011;1(1):e000060. doi: 10.1136./ bmjopen2011-000060.
18. Ahmed N, Aziz T, Akram S. Visual outcome after primary IOL implantation for traumatic cataract. Pak J Ophthalmol. 2011;27(3):152-54.
19. Kumar S, Panda A, Badhu BP, et al. Safety of primary intraocular lens insertion in unilateral childhood traumatic cataract. J Nepal Med Assoc 2008;47(172):179-85.
20. Eckstein M, Vijayalakshmi P, Killedar M, et al. Use of intraocular lenses in children with traumatic cataract in south India. Br J Ophthalmol 1998;82(8):911-5.
21. Loncar VL, Petric I. Surgery treatment, clinical outcomes, complications of traumatic cataract: retrospective study. Croat Med J 2004;45(3): 310-3.
Bharti A, Sharma P, Mahajan S , Raina B, Kai S. Clinical Outcomes of Management of Traumatic Cataract in a Tertiary Care Centre. Perspectives in Medical Research 2020; 8 (2):20-23 DOI : 10.47799/pimr.0802.07