Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective Study
Introduction: One of the most common presentations of blunt and penetrating ocular trauma is traumatic cataract. It remains a significant cause of visual impairment and physical disability among adults and children. It is associated with various ocular injuries. Aim: To evaluate the associated...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2016-01-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/7049/17216_CE[Ra]_F(Sh)_PF1(Vsu_Om)_PFA(AK)_PF2(PAG).pdf |
Summary: | Introduction: One of the most common presentations of blunt
and penetrating ocular trauma is traumatic cataract. It remains
a significant cause of visual impairment and physical disability
among adults and children. It is associated with various ocular
injuries.
Aim: To evaluate the associated ocular injuries and final outcome
of patients with traumatic cataract along with their demographic
features and modes of trauma.
Materials and Methods: A prospective study done in
Department of Ophthalmology in M.L.B. Medical college,
Jhansi from February 2010 to July 2011. A total of 48 patients
diagnosed as a case of traumatic cataract were subjected to a
detailed history, systemic and local examination with relevant
investigations. Medical or surgical managements were done
accordingly. Patients were subsequently followed-up and visual
acuity was recorded. Appropriate statistical tests were applied.
Results: A 54.2% patients sustained penetrating trauma while
45.8% got blunt injury. Out of total, 79% patients were males
while 50% were less than 15 years of age. Causative agents were
stone, wood items, stick, metal objects etc. Among blunt trauma
cases, 64% of the patients had visual acuity <6/60 while among
penetrating trauma cases nobody had acuity >6/18. Anterior
segment was more involved as compared to posterior segment.
A 38.5% patients had corneal opacity among penetrating injury
patients. The interval between trauma and surgery was less
than one month among 75% of patients. After three months of
surgery, 43.7% patients had visual acuity of >6/18.
Conclusion: This study provides recent data of patients
hospitalized after ocular trauma and diagnosed as a case of
traumatic cataract. Traumatic cataract occurs mostly in younger
males. Surgical intervention is necessary to improve visual
outcome. Good visual outcome was obtained in nearly half of
the patients. Traumatic cataract patients can have good visual
outcome depending upon proper management. |
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ISSN: | 2249-782X 0973-709X |