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Long term results of pediatric traumatic cataracts

Poster Details

First Author: H.Guclu TURKEY

Co Author(s):    S. Ozal   V. Pelitli Gurlu   H. Esgin        

Abstract Details

Purpose:

To evaluate long-term results of traumatic cataracts in pediatric cases.

Setting:

Trakya University Faculty of Medicine, Opthalmology Department .

Methods:

The medical records of thirty-two pediatric patients who were operated for traumatic cataract in Trakya University Faculty of Medicine, Department of Ophthalmology between 1985 and 2014 were reviewed. The follow-up period was at least two years for each patient. The medical records of all patients were reviewed to identify patient demographics (age, sex), localization (central or paracentral), type of trauma (perforating or blunt), time between trauma and first visit, time between trauma and cataract formation, time between trauma and cataract surgery, stereoacuity, final visual acuity (VA) and complications.

Results:

The mean age at ocular trauma time was 8.8±3.9 years, and the mean age at cataract surgery time was 9.9 ± 5,4 years. The mean follow-up time was 8.5±6.3 years. The type of ocular injury was perforating in 26 eyes (81,3%), and was blunt in 6 eyes (19.7%). Traumatic cataract occurred in 5,7±11 days after perforating eye injury, and 58,4±89 days after blunt eye injury .The mean time of cataract surgery was 197 ±620 days after perforating trauma, 126 ±205 days after blunt trauma.19 patients (%59,4) had 100 to 3000 second/arc stereoacuity with the Titmus test .

Conclusions:

Children with traumatic cataracts will have good visual results with appropriate treatment. Cataract formation began earlier in perforating eye injuries than blunt eye injuries. The type of ocular injury, localization of ocular injury and posterior segment trauma was related with final VA statistically. Final VA was related with stereoacuity statistically. The most common complications were corneal opacity, posterior capsule opacification and pupillary deformation . Age, time at initial examination, time between cataract formation and surgery, initial VA was not related with final VA and stereoacuity. FINANCIAL INTEREST: NONE

Financial Disclosure:

NONE

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