Format

Send to

Choose Destination
J Cataract Refract Surg. 1997;23 Suppl 1:681-7.

Management of traumatic cataract in children.

Author information

1
Sight Savers Cornea Training Centre, L.V. Prasad Eye Institute, Hyderabad, India.

Abstract

PURPOSE:

To evaluate the presentation, mode of management, and clinical outcome of traumatic cataract in children.

SETTING:

L.V. Prasad Eye Institute, Hyderabad, India.

METHODS:

One hundred thirty-seven children (< 16 years) who developed traumatic cataract, seen between January 1988 and December 1993, were retrospectively analyzed. Nature of injury, type of cataract, management, and outcome were evaluated.

RESULTS:

The study group comprised 110 boys and 27 girls. Average follow-up was 11.7 months (range 1 week to 60 months). Most injuries (54.7%) were caused by a stick or a bow and arrow. Most (53.2%) of the cataracts were total. Corneal scarring (60.5%) and iris-related problems (49.6%) were the most common associated findings. Extracapsular cataract extraction with intraocular lens (IOL) implantation was performed in 65.67% of patients. Visual acuity improved form 20/200 or worse in 97.7% of patients preoperatively to 20/60 or better in 74.1% or patients postoperatively. Seventeen patients had associated posterior segment insult; most failed to recover satisfactory vision. Posterior capsule opacification (PCO) was noted in 42.9% of patients.

CONCLUSIONS:

Extracapsular cataract extraction with IOL implantation provides satisfactory results in children with traumatic cataract. Associated posterior segment complications and development of PCO are the major obstacles to visual rehabilitation.

PMID:
9278825
DOI:
10.1016/s0886-3350(97)80054-5
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center