Traumatic cataract: different modalities of treatments and its outcome
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 5
Abstract
Introduction: Damage to the crystalline lens is an important manifestation of ocular trauma which results in the formation of a cataract. This forms a special clinical type since it is seen in young individuals and children since trauma is more common in this age group. Traumatic cataract due to blunt trauma can be managed by intracapsular cataract extraction, extracapsular cataract extraction with or without intraocular lens implantation or by phacoemulsification. Traumatic cataract in penetrating trauma is treated by two options. In first option immediate repair of corneal laceration leaving the cataract for second operation. In second option simultaneous corneal repair and cataract extraction is done. Aims and objectives: To study different modalities used for management of traumatic cataract and To study intraoperative and postoperative complications and to evaluate final visual outcome. Material and method: All the patients of traumatic cataract were enrolled in the study. The detail of these patients such as age, sex and other demographic detail were asked and were entered in a prestructured proforma. Type of injury, side of the eye involved and the cause of injury were also inquired and were noted down. Various surgical modalities used in the treatment of these patients were recorded. And the visual outcome after six months of treatment was recorded. Results: Agricultural injuries and other occupational accident (25.5% each) were the commonest cause. Corneal damage (45%) was most frequently associated with traumatic cataract. Preoperative visual loss reducing vision up to perception of light and projection of rays was found (45%). Most frequently used modalities of lens surgery were phacoemulsification with posterior chamber intraocular lens implantion and extracapusular cataract extraction with posterior chamber intraocular lens implantation (32.5%) each. Vitreous loss was most frequently found intraoperative complication (15%). Commonest postoperative complication was found to be uveitis (35%). Final visual acuity was good (visual acuity better than 6/18 ) in 47.5 % cases . Blindness (visual acuity less than 6/60) was seen in 7.5 % cases. Conclusion: Most frequently used treatment modalities in traumatic cataract was phacoemulsification with PCIOL implantation and ECCE with PCIOL implantation each. Vitreous loss was the most common intraoperative complication whereas uveitis was most common post operative complication. Final visual outcome was better in cases with intraocular lens implantation.
Authors and Affiliations
Poonam N. Kalyanpad, Chhaya A. Shinde
Keywords
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