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[The surgical results in traumatic cataract]
D Chiseliţă1, P P Vancea, O Filimon
1Clinica oftalmologică Iaşi.
Oftalmologia (Bucharest, Romania : 1990)
|July 1, 1995
Summary
This study analyzed 204 traumatic cataract surgeries, finding improved vision in simple cases. Complications were higher in severe cases, but lens implants significantly aided visual rehabilitation.
Area of Science:
- Ophthalmology
- Trauma Surgery
Context:
- Retrospective analysis of 204 traumatic cataract cases from 1988-1992.
- Categorization into 140 simple and 64 aggravated traumatic cataracts.
Purpose:
- To evaluate the postoperative outcomes and visual rehabilitation following traumatic cataract surgery.
- To assess the incidence of complications and the effectiveness of different management strategies.
Summary:
- Simple traumatic cataracts showed significant visual acuity improvement (0.0139 to 0.8520).
- Complications included retinal detachment (4.9%), endophthalmitis, and cystoid macular edema (3.2%), more frequent in aggravated cases.
- Extracapsular cataract extraction with posterior chamber lens implants became standard during the study period.
Impact:
- Lens implants demonstrated superior visual rehabilitation for aphakic patients.
- Crystalline grafts and contact lenses preserved binocular vision in 92% and 50% of cases, respectively.
- Understanding complication rates aids in managing complex traumatic cataracts.