gms | German Medical Science

21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem
8. Symposium der International Society of Ocular Trauma

Deutsche Gesellschaft für Retinologie
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Management of traumatic cataract

Meeting Abstract

Suche in Medline nach

  • Rupesh V. Agrawal - Hyderabad/India

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V081

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Veröffentlicht: 18. Juni 2008

© 2008 Agrawal.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Purpose: To evaluate the presentation, mode of management, and clinical outcome of traumatic cataract.

Setting: Tertiary Eye care institute in central India.

Methods: Seventy six eyes who developed traumatic cataract, seen between January 2004 to December 2006, were retrospectively analyzed. Nature of injury, type of cataract, management, and outcome were evaluated.

Results: The study group comprised 61 male and 15 female. Minimum age was 3 years and maximum age was 85 years with average age being 25.90 years. 39 eyes had blunt injury and remaining 37 eyes had penetrating injury. Most (53.2%) of the cataracts were total. Anterior capsule was torn in 20 eyes, lens matter was present in anterior chamber in 20 eyes. Subluxation of the lens was noted in 7 eyes. Corneal involvement was noted in 63 eyes with visual axis getting involved in 36 eyes. Small incision cataract extraction with intraocular lens (IOL) implantation was performed in all the patients. Anterior vitrectomy needed to be performed in 28 eyes with preexisting posterior capsular rent. Visual acuity improved form 20/200 or worse preoperatively to 20/60 or better in 67 eyes postoperatively. Posterior capsule opacification (PCO) was noted in 18 eyes.

Conclusions: Small incision cataract surgery with IOL implantation with or without anterior vitrectomy provides satisfactory results in patients with traumatic cataract. Associated posterior segment complications and development of PCO are the major obstacles to visual rehabilitation.