Article
The surgical treatment and clinical outcomes of traumatic cataracts
Search Medline for
Authors
Published: | September 18, 2006 |
---|
Outline
Text
Objective
The purpose of this study was to analyze the postoperative outcomes after traumatic cataract extractions.
Methods
We conducted a clinical retrospective study of 11 patients (11 eyes) with traumatic cataract surgically treated in our hospital from June 2005 to September 2005. Patient’s demographics, causes of injury, wound categories, preoperative visual acuity, postoperative best corrected visual acuity, intraoperative and postoperative complications were recorded.
Results
Cataracts due to nonpenetrating trauma were found in 5 patients whereas 6 patients suffered from perforating trauma. 9 patients were man and 6 of them had perforating corneal trauma occurred in the workplace. The patients had preoperative visual acuity of 0.05 or less. The patients with penetrating trauma received cataract extraction with primary repair of the wound and IOL implantation. One patient was a child and she received lens aspiration and IOL implantation. The patients without penetrating trauma underwent surgery at 3 months after injury. The mean follow-up was 6 months. The visual acuity at last follow-up was of 20/40 or better in 8 eyes and 20/100 or better in 3 eyes. Major causes of poor visual acuity were central corneal scars. 4 eyes developed secondary cataract and underwent YAG laser capsulotomy.
Conclusions
Patients with traumatic cataract after penetrating or nonpenetrating trauma had a favorable visual outcome after intraocular lens implantation.