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Epidemiology and long-term visual outcomes of traumatic paediatric cataracts

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Session Details

Session Title: Presented Poster Session: IOL Power Calculation/Paediatric

Venue: Poster Village: Pod 1

First Author: : A.Oral TURKEY

Co Author(s): :    A. Aydin Oral   N. Tutas Gunaydin   U. Kivrak   E. Goktas   A. Karatay Arsan  

Abstract Details

Purpose:

To evaluate the epidemiologic features and long term visual outcomes of traumatic pediatric cataracts.

Setting:

Health Sciences University Dr. Lütfi Kırdar Kartal Training and Research Hospital

Methods:

Pediatric traumatic cataract which underwent cataract surgery at Dr. L. Kırdar Kartal Training and Research Hospital between 1999 and 2016 were reviewed retrospectively. Demographic factors, follow-up time, age at thesurgery, type and c ause of injury, accompanying ocular findings, final visual acuity and postoperative complications were recorded.

Results:

Thirty-one eyes of31 patients(19boys,12girls)with unilateral traumatic cataract(11 right,7 lefteyes)were included in this study.All of the patients underwent cataract extraction and primary IOL implation.The mean follow-up period was79.32months (range12-180 months).The mean age at time of surgery was 6.51 ±2.6years (range,2-14 years).Corneal scarring(93.5%) was the most common associated finding.Twenty nine patient(93.5 %)sustained a penetrating injury and two 6.45%)had blunt trauma.The most common injuring objects were sharp metal objects(31.3%).Final Best Corrected Visual Acuity (BCVA) was examined in 29patients.Six patients(20.7%) had BCVA ≥ 6/18.Sixteen patients(55.1%) had BCVA ≥ 6/60 - 6/18 and seven patients(24.2%) had BCVA < 6/60.Two eyes had retinal detachtment(4-12months after surgery).

Conclusions:

Traumatic cataracts one of the most common reversible cause of monocular blindness in children. Proper education of the parents, teachers and children is as important as treatment of pediatric traumatic cataracts.

Financial Disclosure:

NONE

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