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Postoperative complications and visual results in uniocular pediatric traumatic cataract
1Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Posterior chamber intraocular lens (PCIOL) implantation after traumatic cataract surgery in children had higher complications in penetrating eye injuries versus blunt trauma. Blunt trauma cases showed better visual outcomes.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Unilateral traumatic cataracts in children pose surgical challenges.
- Posterior chamber intraocular lens (PCIOL) implantation is a common treatment.
- Evaluating outcomes in pediatric traumatic cataracts is crucial.
Purpose of the Study:
- To assess postoperative complications and visual results.
- To compare outcomes between blunt trauma and penetrating eye injuries.
- To evaluate PCIOL implantation in pediatric unilateral traumatic cataracts.
Main Methods:
- Prospective evaluation of 40 children (≤12 years) with traumatic cataracts.
- PCIOL implantation with a minimum one-year follow-up.
- Exclusion of patients with posterior segment ocular injury.
Main Results:
- Penetrating eye injury group had higher rates of pupillary capture (44.44%), posterior capsulotomy (83.33%), and IOL decentration (27.77%).
- Blunt trauma group showed significantly lower complication rates (pupillary capture 9.09%, posterior capsulotomy 40.90%, IOL decentration 4.54%).
- Final visual acuity of 6/12 or better was achieved in 86.36% of blunt trauma eyes versus 38.8% of penetrating injury eyes.
Conclusions:
- Extracapsular cataract extraction (ECCE) with PCIOL implantation for blunt traumatic cataracts yields better visual outcomes.
- Penetrating eye injuries associated with traumatic cataracts lead to more complications and poorer visual results.
- PCIOL implantation is effective in pediatric traumatic cataracts when the posterior segment is uninvolved.
Background And Objectives:
This study was prospectively carried out to evaluate the postoperative complications and visual results following posterior chamber intraocular lens (PCIOL) implantation in children with unilateral traumatic cataract.
Patients And Methods:
We prospectively evaluated 40 children, 12 years or younger, with traumatic cataract (blunt trauma, n = 22 eyes, repaired penetrating eye injury, n = 18 eyes) undergoing PCIOL implantation with a minimum follow-up period of one year. Children with posterior segment ocular injury were excluded.
Results:
The postoperative complications were significantly higher in the penetrating eye injury group as compared to blunt trauma group (ie, pupillary capture 44.44% vs 9.09%, posterior capsulotomy rate 83.33% vs 40.90% and IOL decentration 27.77% vs 4.54%). The final visual acuity was 6/12 or better in 38.8% and 86.36% of eyes with penetrating eye injury and blunt trauma, respectively.
Conclusion:
Extracapsular cataract extraction (ECCE) with PCIOL implantation in traumatic cataract following blunt trauma results in better visual outcome and fewer complications compared to penetrating eye injury if the posterior segment is not involved.
