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Traumatic Cataracts in Children, Long-Term Follow-up in an Israeli Population: A Retrospective Study
Assaf Hilely1,2, Hana Leiba1,2, Asaf Achiron3,4
1Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel.
The Israel Medical Association Journal : IMAJ
|September 23, 2019
Summary
Pediatric traumatic cataracts can lead to severe complications, including glaucoma and lens dislocation, even after long-term follow-up. Early surgical intervention and consistent monitoring are crucial for managing these challenging cases.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Trauma Care
Background:
- Pediatric ocular trauma frequently results in cataract formation.
- Managing traumatic cataracts in young children presents significant challenges and risks poor visual outcomes.
Purpose of the Study:
- To evaluate the long-term surgical outcomes and complications associated with unilateral traumatic cataracts in children.
Main Methods:
- A retrospective observational study was conducted on pediatric patients with unilateral traumatic cataracts.
- A minimum follow-up period of 5 years was required, with main outcomes including final visual acuity and complication rates.
Main Results:
- Over 80% of the 18 participants were male, with a median injury age of 7.5 years.
- Cataract surgery with intraocular lens (IOL) implantation was performed in 89% of cases.
- Long-term complications included IOL dislocation (36%), glaucoma (44%), and posterior capsular opacity (71%).
Conclusions:
- Severe complications are common in pediatric traumatic cataracts, occurring in over 30% of patients during extended follow-up (mean 12.5 years).
- Prognosis and the necessity for scheduled follow-up require thorough discussion between physicians and parents.
