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...
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doaj-66bd674a2cea4891ac1cd415443440d42020-11-25T03:18:10ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-01-01101NC05NC0810.7860/JCDR/2016/17216.7049Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective StudyAshish Kumar Sharma0Ahmad Nadeem Aslami1Jai Prakash Srivastava2Jawed Iqbal3Assistant Professor, Department of Ophthalmology, Narayan Medical College and Hospital, Jamuhar, Sasaram, Bihar, India.Assistant Professor, Department of Community Medicine, Narayan Medical College and Hospital, Jamuhar, Sasaram, Bihar, India.Senior Resident, Department of Ophthalmology, M.L.B. Medical College, Jhansi, UP, India.Senior Resident, Department of Ophthalmology, Narayan Medical College and Hospital, Jamuhar, Sasaram, Bihar, India.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.https://jcdr.net/articles/PDF/7049/17216_CE[Ra]_F(Sh)_PF1(Vsu_Om)_PFA(AK)_PF2(PAG).pdfbest-corrected visual acuity (bcva)blunt injurypenetrating injury |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ashish Kumar Sharma Ahmad Nadeem Aslami Jai Prakash Srivastava Jawed Iqbal |
spellingShingle |
Ashish Kumar Sharma Ahmad Nadeem Aslami Jai Prakash Srivastava Jawed Iqbal Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective Study Journal of Clinical and Diagnostic Research best-corrected visual acuity (bcva) blunt injury penetrating injury |
author_facet |
Ashish Kumar Sharma Ahmad Nadeem Aslami Jai Prakash Srivastava Jawed Iqbal |
author_sort |
Ashish Kumar Sharma |
title |
Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective Study |
title_short |
Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective Study |
title_full |
Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective Study |
title_fullStr |
Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective Study |
title_full_unstemmed |
Visual Outcome of Traumatic Cataract at a Tertiary Eye Care Centre in North India: A Prospective Study |
title_sort |
visual outcome of traumatic cataract at a tertiary eye care centre in north india: a prospective study |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2016-01-01 |
description |
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. |
topic |
best-corrected visual acuity (bcva) blunt injury penetrating injury |
url |
https://jcdr.net/articles/PDF/7049/17216_CE[Ra]_F(Sh)_PF1(Vsu_Om)_PFA(AK)_PF2(PAG).pdf |
work_keys_str_mv |
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