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Management of traumatic cataract in an eye with large corneal scar

Poster Details

First Author: A.Ghita ROMANIA

Co Author(s):    A. Ghita   R. Buzescu           

Abstract Details

Purpose:

To asses surgical and postoperative outcomes of a pacient with traumatic cataract

Setting:

University Emergency Hospital, Bucharest

Methods:

A case of traumatic cataract in the right eye secondary to blunt ocular trauma with corneal laceration and perforation, 6 months ago, resolved with large corneal scar. We decided to remove the lens by doing an eccentric capsulorhexis under the area of corneal visibility. The lens was soft, as we expected in this case of traumatic cataract, so we started phacoemulsification and aspiration of the lens in the area without corneal scar and then, we rotate the lens to that area until we removed it all without complications. The posterior chamber IOL was placed in the cilliary sulcus.

Results:

After cataract surgery pacient BCVA RE improved from hand motion, before surgery, to 0.1. At successive postoperative examinations the posterior chamber IOL is in good position. After cataract surgery the cornea didn’t present additional injuries and the corneal areas without leucoma remained clear after lens extraction.

Conclusions:

The examination of the lens preoperative was difficult due to corneal scar. A major cause of reduced visual acuity after the cataract surgery is previous corneal scar. Management of traumatic cataract represents a medical and surgical challenge because of associated injuries to ocular structures.

Financial Disclosure:

NONE

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