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First Author: L.Tapia Lopez MEXICO
Co Author(s): E. Fernandez Muñoz D. Jimenez Rosas B. Garibay Velazquez
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To evaluate visual outcomes after surgery in open globe ocular injuries and cataract in pediatric patients.
Asociación para Evitar la Ceguera en México I.A.P. Hospital "Dr. Luis Sánchez Bulnes". Open globe injuries in pediatric patients is a common ophthalmology urgency and represent a great challenge for ophthalmology practice because the surgical techniques is more difficult than in adults the eyes are smaller, anesthesia managements is more difficult, finally rehabilitation is a complex issue.
Patients under 18 years old with a penetrant ocular trauma with corneal or scleral wound and posttraumatic cataract were included. Corneal wound repair and phacoemulsification with intraocular lens implantation were performed. The patients were examined by the first day, the first week, the 1 month, 3 month and 6 month after the surgery evaluating the final corrected distance visual acuity (CDVA).
The enrolled group consisted of 30 eyes with traumatic cataract that presented, corneal and/or scleral wound. The mean age of the 30 patients was 8.6 +/- 4.2 years. Of the eye, 80% had corneal wound and cataract and 20% had corneal-scleral wound and cataract. IOL was implanted in (85%) eyes, and (25%) required more than 1 operation. One week after surgery the CDVA was 20/200, one month CDVA was 20/100, three month CDVA was 20/80, six month CDVA was 20/60. Whe found a CDVA of better than 20/60 in 68% of cases.
Visual gain after surgery for traumatic cataract is a complex issue specially in pediatric patient. In the present study, a satisfactory grade of vision after the management of traumatic cataracts in open globe injuries was achieved. Astigmatism and presence of corneal wound in visual axis influence in the final visual outcome.