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Revisiting of management of immature traumatic cataract

Poster Details

First Author: R.Abdullin RUSSIA

Co Author(s):                  

Abstract Details

Purpose:

Immature traumatic cataract is one of the leading complications of penetrating wounds of the eyeball.

Setting:

Ufa Eye Research Institute, Ufa, Russia

Methods:

We observed 22 patients who underwent immature traumatic cataract extraction with IOL implantation for urgent indications. Wound localization was in corneoscleral zone in 18.18% of patients; corneal localization was in 81.82%. In 54.55% of cases the penetrating wound was combined with the insertion of a metallic foreign body, in 13.64% of cases - with damage of the iris. In 18.18% of cases the localization of foreign body was in the lens, in 36.36% - in the vitreous cavity.

Results:

Surgical intervention consisted of the different methods extraction of traumatic cataract, in 6 cases (27.27%) combined with corneal wound re-management, in 6 (27.27%) - with the removal of intraocular foreign bodies, in 2 (9.09 %) - with the suture iridoplasty and 2 (9.09%) – with the anterior vitrectomy. Visual acuity in all patients was equal to light perception with the right light perspective. Visual acuity at discharge was below 0.1 in 9.09%, 0.1 to 0.3 in 31.82%, 0.3 to 0.7 in 36.36% and more than 0.7 in 27.27% of cases. Spectacle correction by the spherical lenses was required in 27.27%.

Conclusions:

Extraction of traumatic cataract for emergency indications provides good functional results and quick medical rehabilitation of the patients. The main conditions influencing visual acuity were fibrosis of the posterior capsule of the lens in 13.64%; scarring of the cornea localized in the optical zone is not more than 1 mm in 18.18%; vicious cicatrix of the cornea in 50.00%; diaphragmatic dysfunction of the iris due to its extensive damage in 9.09%.

Financial Disclosure:

NONE

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