Visual Outcome in Traumatic Cataract in Children

Amtul Naseer Sami, Asad Aslam Khan


Background and Objectives: Traumatic cataract is one of the most common causes of uniocular blindness. In this prospective study, “The visual outcome of traumatic cataract in children”, we analyzed the visual prognosis after traumatic cataract extraction in children with intraocular lens implantation. Methods: All 30 consecutive cases of age 16 and fewer than 16, who had traumatic cataract are included in this study. They underwent surgery between May 2010 and May 2011. The cases were prospected evaluated. This study was conducted in Mayo hospital/COAVS. All the patients were worked up according to the protocol. The follow up period was three months. Results: The study group comprised of 30 cases of traumatic cataract out of which 18 cases (60%) were males and 12 cases (40%) were females. Most of the injuries 23 (77%). were caused by wire, glass and cutting instruments. All cases had traumatic cataract. Corneal injuries 16 (55.3%) and iris related problems 9 (30%) were the most commonly associated findings. Irrigation aspiration with intraocular lens implantation was performed in these cases. Visual acuity improved from PL-PR+ pre-operatively to 6/18 or above than that in 82.97% of the cases postoperatively. Conclusion: Irrigation aspiration with intraocular lens implantation provides satisfactory visual results in traumatic cataract in children. The main cause for impaired vision was corneal scarring, astigmatism, opacity obscuring the visual axis, retinal detachment and Amblyopia. Keywords: Traumatic Cataract; Blunt Trauma; Penetrating Trauma; Children. Cataract Extraction, Intraocular Lens Implantation, Visual acuity.

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