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Visual outcome and management of traumatic cataract in adults

Poster Details

First Author: A.Arsan TURKEY

Co Author(s):    H. Kanar   Y. Oral   A. Hacisalihoglu              

Abstract Details

Purpose:

In this retrospective study we aim to evaluate the mode of trauma, associated ocular pathologies , surgical intervention and final outcome of adult patients with traumatic cataract whose surgery performed under local anaesthesia.

Setting:

S.B.Sa�Ä�Ÿl�Ä�±k Bilimleri Univercity Fatih Sultan Mehmet Educational and Research Hospital

Methods:

MATERIALS AND

Methods:

Retrospective medical records of 51 eyes of 51 patients presenting with post-traumatic cataract with age over 18 years were reviewed. All patients underwent complete medical history, recording best-corrected visual acuity(BCVA) , intraocular pressure , biomicroscopy of the anterior segment, posterior segment examination if possible according to media opacity, ultrasonic evaluation and confirmation of absence of other pathologies with a high-resolution orbital computed tomography as needed. Medical and surgical managements were done accordingly.

Results:

Out of 51 patients 30 patients (58.82%) had a closed-globe blunt injury while 21 (41.17%) had penetrating trauma. Median age was 37 years with male predilection (80.39%). Nine eyes (42.85%) had corneal opacity among penetrating injury group while 2 (6.66%)had in blunt injury group. Zonular dialysis determined 30% in blunt injuries while in 9.5% in penetrating injury. Fourty-four patients (86.27%) underwent phacoemulsification while in 79.54% of these eyes the intraocular lens was placed in the bag. BCVA of 20/40 or better was achieved in 56.66% of blunt trauma group where as only 19.01% after cataract surgery of penetrating injured eyes.

Conclusions:

Traumatic cataract surgery may result with good visual outcome depending upon performing proper management.of patients.Phacoem�Ã�¼lsification with the intraocular lens placed in the capsular bag was the procedure most commonly performed. BCVA was better in blunt injury group than penetrating traumas. The factors contributing to poor post-operative vision were poor pre-operative VA, penetrating trauma, extent of trauma, and associated ocular pathologies such as corneal opacity, vitreous loss and vitreo-retinal changes .

Financial Disclosure:

NONE

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