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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Main Authors: Ashish Kumar Sharma, Ahmad Nadeem Aslami, Jai Prakash Srivastava, Jawed Iqbal
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-01-01
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
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spelling 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
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