Pediatric Traumatic Cataract

2021 ◽  
pp. 125-140
Author(s):  
Mehul A. Shah ◽  
Shreya M. Shah
Keyword(s):  
Author(s):  
Dr. Mita V. Joshi ◽  
Dr. Sudhir Mahashabde

All patient coming to Index Medical College Hospital & Research Centre, Indore operated in Department of Ophthalmology for traumatic cataract due to various injuries Result: Of the 37 patients, 19 patients (51%) showed corneal/ corneal sclera injury. 10 cases had injury to iris in the form of spincter tear, traumatic mydriasis, iris incarceration, floppy iris, posterior and anterior synechiae. Subluxation of lens was seen in 2 cases and Dislocation of lens was in 1 cases. 3 cases had corneal opacity. Old retinal detachment was seen in 1 (3%) case. Out of 30 cases who had associated ocular injuries, 3 cases had vision of HM, 07 cases had vision of CF-ctf – CF-3’, 01 cases had vision of 5/60, 07 cases had vision of 6/60-6/36, 03 cases had vision of 6/24-6/18, 09 cases had vision of 6/12-6/6. Out of 7 cases without associated in injury, 2 cases had vision of 6/24-6/18, 05 cases had vision of 6/12-6/6. Conclusion: Corneal scarring obstructing the visual axis as well as by inducing irregular astigmatism formed an important cause of poor visual outcome in significant number of cases. Irreversible posterior segment damage lead to impaired vision case. The final visual outcome showed good result however the final visual outcome depends upon the extent of associated ocular injuries. Effective Intervention and management are the key points in preventing monocular blindness due to traumatic cataract. Keywords: Ocular, Tissues, Traumatic, Cataract & Surgery.


2011 ◽  
Vol 152 (2) ◽  
pp. 229-233 ◽  
Author(s):  
Carolyn E. Kloek ◽  
Michael T. Andreoli ◽  
Christopher M. Andreoli

2019 ◽  
Vol 45 (1) ◽  
pp. 8-10
Author(s):  
Somya Chowdhary ◽  
Ken K. Nischal

2011 ◽  
Vol 37 (7) ◽  
pp. 1360-1362 ◽  
Author(s):  
Jennifer Y. Li ◽  
Michele C. Lim ◽  
Mark J. Mannis
Keyword(s):  

2011 ◽  
Vol 139 (3-4) ◽  
pp. 216-220
Author(s):  
Dragan Veselinovic ◽  
Ivan Stefanovic ◽  
Milos Jovanovic ◽  
Aleksandar Veselinovic ◽  
Marija Trenkic-Bozinovic ◽  
...  

Introduction. We present a patient with perforative eye injury, a metal foreign body in the lens and traumatic cataract. The paper emphasises the importance of phacoemulsification in case of patients with a traumatic cataract and the presence of a metal foreign body. Case Outline. A 41-year-old patient had a perforative wound of the cornea caused by a metal foreign body that also perforated the anterior lens capsule and remained in the paracentral anterior part of the lens. The injury, which happened upon hitting of a hammer against a metal object, showed the presence of a tangential wound of the cornea adapted edges, and a formed anterior eye chamber. The presence of a metal spear-shaped foreign body was partly inside the anterior eye chamber and partly in the central area of the lens. The visual acuity of the injured eye was 0.2. The technique of removing the foreign body out of the lens and the phacoemulsification of the lens with the implantation of intraocular lens is presented. The paracentral wound on the cornea was not sutured because of well-adapted edges. On the first postoperative day there were no inflammatory signs, and best uncorrected visual acuity of 0.8. Conclusion. Posttraumatic cataracts with a metal foreign body in the lens require operative treatment in order to remove the foreign body, phacoemulsification and implantation of artificial lens. Because of anterior capsule lesion, special care should be taken in regard to anterior capsulorhexis and appropriate hydrodisection. Ocular hypotonia and possible damage of the posterior capsule in some cases can make phacoemulsification more difficult to perform.


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