Visual outcome of traumatic cataract in pediatric age group

Mehul A Shah1, Shreya M Shah, Adway H Appleware

  • 1Drashti Netralaya, Dahod, Gujarat - India.

Insights

Children with traumatic cataracts achieve good vision after surgery, regardless of open-globe or closed-globe injuries. This study reviewed outcomes for pediatric traumatic cataracts.

Area of Science:

  • Ophthalmology
  • Pediatric Eye Care
  • Trauma Surgery

Background:

  • Traumatic cataracts are a significant cause of vision loss in children.
  • Prompt surgical intervention is crucial for optimal visual outcomes.

Purpose of the Study:

  • To evaluate the surgical outcomes of traumatic cataracts in pediatric patients.
  • To compare visual acuity results between open-globe and closed-globe injuries in children.

Main Methods:

  • Retrospective cohort study at a tertiary eye care center in India.
  • Inclusion of children with traumatic cataracts, surgical intervention, and amblyopia treatment.
  • Classification of injuries into open-globe and closed-globe based on the Birmingham Eye Trauma Terminology System.

Main Results:

  • 354 eyes with traumatic cataracts were analyzed (287 open-globe, 67 closed-globe).
  • Postoperative visual acuity >20/200 was achieved in 63% of open-globe and 53% of closed-globe injuries.
  • No significant difference in visual outcomes was observed between open- and closed-globe injury groups (p=0.143).

Conclusions:

  • Satisfactory visual outcomes are achievable for pediatric traumatic cataracts.
  • Injury type (open-globe vs. closed-globe) did not significantly impact visual results in children.
Abstract

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