Related Experiment Video
Updated: Aug 27, 2025
Author Spotlight: Unraveling the Molecular Mechanisms in PCO and Fibrosis Following Cataract Surgery
Published on: December 1, 2023
Characteristics of pediatric traumatic cataract and factors affecting visual outcomes
Emine Doğan1, Erkan Çelik1, Kübra Özata Gündoğdu1
1Medical Education and Research Hospital, Eye Clinic, Sakarya University, Turkey.
Insights
Pediatric traumatic cataracts significantly impact vision, with lower ocular trauma scores and additional surgeries predicting poorer outcomes. Prompt management is crucial for preserving sight in children.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Trauma Surgery
Background:
- Traumatic cataracts are a significant cause of visual impairment in children.
- Understanding the clinical characteristics and outcomes of pediatric traumatic cataracts is essential for effective management.
Purpose of the Study:
- To evaluate the clinical features, surgical approaches, and visual outcomes in pediatric traumatic cataracts.
- To compare these findings with adult traumatic cataract cases.
Main Methods:
- Retrospective analysis of pediatric and adult traumatic cataract patients.
- Comparison of age, gender, trauma cause, clinical findings, initial and final visual acuity (VA), and ocular trauma score (OTS).
Main Results:
- Pediatric patients (mean age 9.4 years) and adult patients (mean age 47.8 years) showed male predominance.
- Sharp metal objects were the most common cause in children; wood and traffic accidents in adults.
- Final visual acuity did not differ significantly between pediatric and adult groups (p: 0.94).
- Lower OTS and the presence of additional surgery were prognostic factors for poor final VA in pediatric cases.
Conclusions:
- Traumatic cataract is a major cause of visual loss in children.
- Ocular trauma score and need for additional surgery are key prognostic factors for visual outcomes in pediatric traumatic cataracts.
- Optimal timing and accurate management are critical for pediatric traumatic cataract cases.
Purpose:
To evaluate the clinical characteristics, surgical approach and visual results in pediatric traumatic cataract.
Material And Methods:
Data of pediatric and adult traumatic cataract patients were retrospectively analyzed. Age, gender, cause and zone of trauma, additional clinical findings, initial and final visual acuity (VA) were analyzed and compared between groups.
Results:
The mean age of 18 patients in the pediatric group was 9.4(SD 5.7); 18 patients in the adult group was 47.8(16.2) years. There was a male predominance in both groups (12/16 male, respectively). The most common cause of trauma was sharp metal objects (50%) in the pediatric group and wooden and traffic accidents (33%) in the adult group. The initial mean VA of the patients were 0.03(0.09), 0.09(0.1) in the pediatric and adult groups, respectively, (p: 0.34). The mean ocular trauma score (OTS) was 51.4(16.4) and 59.6(10.5) in the pediatric and adult groups, respectively (p: 0.09). Simultaneous surgery was performed in 5 (28%) eyes in both groups. Subsequent lens extraction and IOL implantation were performed in 10 of pediatric and 13 of adult patients. The final VA was 0.3(0.7), 0.3(0.4) in the pediatric and adult group, respectively (p: 0.94). Final VA was correlated with OTS in both of the groups and the presence of additional surgery in the pediatric group.
Conclusion:
Traumatic cataract is a major cause of visual loss in children. Lower OTS and presence of additional surgery were the prognostic factors for poor final VA in the pediatric cases. Optimal timing and accurate management of traumatic cataract are important in the pediatric population.
More Related Videos
Related Concept Videos
01:22Photoreceptors and Visual Pathways
01:25Glaucoma: Overview
01:28Angle Closure Glaucoma: Treatment