Visual Outcome Of Paediatric Traumatic Cataract In Paediatric Ophthalmology Department Of A Tertiary Care Hospital
Rabia Khawar Chaudhry1, Aziz Ur Rehman2, Muhammad Nasar Qamar Khan2
1Department of Paediatric Ophthalmology Al Ibrahim Eye Institute Karachi, Pakistan.
Insights
Childhood traumatic cataracts cause avoidable blindness. This study analyzed causes, outcomes, and prevention strategies for pediatric traumatic cataracts, finding domestic injuries most common in males aged 5-9.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Pediatric traumatic cataract is a leading cause of treatable childhood blindness.
- Understanding causative factors and outcomes is crucial for prevention and management strategies.
Purpose of the Study:
- To analyze avoidable blindness in children with traumatic cataracts.
- To assess final visual outcomes, causative factors, and management strategies.
Main Methods:
- Prospective review of 120 pediatric patients (2 months to 14 years) with ocular traumatic cataract.
- Data collected included demographics, injury details, surgical procedures, and visual outcomes.
- Visual acuity assessed using fixation/following and Snellen's chart; analysis via SPSS.
Main Results:
- 120 eyes operated; 53.34% male, 46.66% female. Average age 7.8 years.
- Initial visual acuity ranged from 6/60 to light perception.
- 15% achieved final visual outcome better than 6/18 post-operatively.
Conclusions:
- Domestic injuries are the most common cause of pediatric traumatic cataract, particularly in males aged 5-9.
- Final visual outcome in traumatic cataract extraction is influenced by initial vision, injury characteristics, presentation delay, and surgical complications.
Background:
Paediatric traumatic cataract is one of leading treatable cause of childhood blindness. The purpose of this study is to analyse number of avoidable blindness in children and to access final visual outcomes, causative factors, strategies for the prevention and management.
Methods:
One hundred and twenty patients of ocular traumatic cataract age between 2 months to 14 years were treated in Department of Paediatric Ophthalmology from April 2019 till April 2020wasprospectivelyreviewed. Data included age, gender, time of presentation, type of injury, anterior segment with fundus examination, time and type of surgery, visual outcome at presentation and final visual outcome. Visual acuity was assessed by fixation and following, Snellen's chart according to patient's age. Some patients underwent for lens aspiration and rest underwent for lens aspiration, posterior capsulotomy and anterior vitrectomy followed by intraocular lens implantation under general anaesthesia. Patients who lost follow ups for two months were not included in study. Analysis of data was done using SPSS for window version 24.0.
Results:
One hundred and twenty eyes operated for traumatic cataract among which 64 (53.34%) patients were males and 56 (46.66%) were females. The average age of patients was 7.8 years with traumatic cataract. Initial Uncorrected visual out come at the time of presentation ranged from 6/60 to light perception. 15 %of children with traumatic cataract had post-operative final visual outcome of better than 6/18.
Conclusions:
The commonest cause of ocular injuries in our pediatric ophthalmology department was domestic, mostly in 5-9 years of age with greater number in males. In traumatic cataract extraction final visual outcome depends on initial visual outcome, source and type of injury, duration of presentation, duration of surgery and complications.
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