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Surgical and visual outcomes in traumatic cataract following phacoemulsification in a Mexican paediatric population

Poster Details

First Author: P.Guzman-Salas MEXICO

Co Author(s):    H. Matiz-Moreno   M. Garzon   E. Chavez-Mondragon              

Abstract Details

Purpose:

Report the number of pediatric patients with traumatic cataracts, attending a reference center in Mexico City, to analyze different epidemiologic characteristics, and their surgical and visual outcomes.

Setting:

Anterior Segment Department, Instituto de Oftalmologia , Conde de Valenciana, Mexico City, Mexico

Methods:

Retrospective, observational case series study. Clinical data from January 1st 2013, to December 1st 2014. Records were reviewed of patients with Traumatic Cataract, ages from 0 to 17 years and 364 days. Record had to comply with: history of trauma, with development of cataract, and further surgical intervention, with a minimum of 1 year of follow up. Information from clinical records: gender, age, medical history, type of trauma, residence, time between trauma and surgery, visual acuity in all visits, axial length, type of surgery and complications, final refraction, capsular bag opacification, need of referral to other Departments.

Results:

We analyzed 22 patients. Average age 9.55±4.16 years. 6 female(27.3%) and 16 male(72.7%). 6(27.3%) had open-globe penetrating injury,16(72.8%) closed-globe blunt trauma. 8(36.3%) lived in the city,14(63.7%) lived in rural communities. Time between trauma-surgery:average 3.99±7.43 months.Visual acuity in first visit:5(22.8%) with light perception,10(45.5%) hand movement (HM),5(22.8%) average of 1.78±0.83 logMAR. One year follow up,1(4.6%) had no light perception;two(9.1%) HM.Rest, average 0.35±0.43 logMAR.Axial length average:22,86±1.09mm. All underwent phacoemulsification,21(95.6%) surgeon was able to place IOL, and 1(4.6%) left in aphakia. Capsular bag opacification in 4 patients (18.2%).In 20(91%) final refraction was obtained with mean spherical equivalent -0.41±0.84 D. 6(27.3%) referred to another department.

Conclusions:

Traumatic cataract had higher prevalence in male children, with predominant blunt trauma, from rural communities. Most achieved vision at 1 year follow up better than 0.35 logMAR. This shows us better ways to understand the approach to traumatic cataracts in children, with an ultimate goal to give better quality of life.

Financial Disclosure:

NONE

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