Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Visual outcome after cataract extraction in open globe injury

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Session Details

Session Title: Presented Poster Session: Solutions for Traumatic Cases

Session Date/Time: Tuesday 13/09/2016 | 09:30-11:00

Paper Time: 09:50

Venue: Poster Village: Pod 3

First Author: : D.Verma INDIA

Co Author(s): :    D. Agrawal   S. Kumari           

Abstract Details

Purpose:

Penetrating ocular trauma is a well-known cause of visual impairment in young adults and children leading to unilateral blindness. Cataract is the commonest complication following ocular injury. The findings of the present study are expected to help in appropriate management of traumatic cataract cases.

Setting:

D D Eye Institute, Kota, India

Methods:

Detailed history and full ophthalmic evaluation of enrolled patients was done. Most patients were operated 15 days after trauma so inflammation gets settled. Self sealing 2.8mm incision was made and capsulorhexis was tried and cortical aspiration was done.children less than 12 yrs, posterior capsulorhexis and anterior vitrectomy was done. If posterior capsule is torn we tried to convert the tear in posterior capsulohexis and ant vitrectomy was done.Three piece and single piece lens were implanted depending upon status of capsular bag. The operated patients were re-examined after 24 hours, 3 days, 10 days and 4 weeks to enable refractive correction.

Results:

Males(63.9%) and 11-30 yrs(46.1%) age group constitute majority. Common causes of injury in children(<10years),young (11-30years) and adult(31-50 years) were wooden stick(40%), thorn(44%) and iron flying object and knife/sharp instruments(42.5%) used in household respectively. Most of cases(92%) were operated after 15 days of trauma. Anterior capsulorhexis was done in 15% of patient and posterior chamber lens were implanted in 97% of patients.The visual acuity at presentation was found to be ‘the perception of light to 3mfc ' in 80.0% of cases while after surgery, it was found that as much as 82.0% of patients had regained useful vision.

Conclusions:

The traumatic cataract cases are predominantly common in young age group and males.Preventive measures based on object causing injury should be taken to reduce the incidence of blinding trauma.Timely cataract extraction and posterior chamber lens implantation is highly effective in restoring vision in traumatic cataract cases

Financial Disclosure:

NONE

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