Print ISSN: 2395-1443
Online ISSN: 2395-1451
CODEN : IJCEKF
Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...Original Article
Author Details :
Volume : 6, Issue : 4, Year : 2020
Article Page : 563-567
https://doi.org/10.18231/j.ijceo.2020.118
Abstract
Background: Ocular trauma is the commonest cause of uniocular cataract in young individuals. Aim of this study was to quantify the visual outcome in terms of visual acuity after removal of traumatic cataract and implantation of an IOL.
Materials and Methods: A prospective study was done in department of ophthalmology at a tertiary care teaching hospital of Andhra Pradesh. The Birmingham Eye Trauma Terminology System was used to classify ocular trauma. All patients underwent for detailed clinical history and ocular examinations including visual acuity, slit lamp biomicroscopy, direct/indirect ophthalmoscopy and a BScan ultrasonography etc. Patients were followed up for 3 months postoperatively. The data was analyzed
using suitable statistical tests.
Results: Out of total 65 patients, 77% patients were males and 30.7% were less than 20 years of age. 66.2% patients sustained penetrating trauma while 33.8% got blunt injury. 9.2% cases had some degree of vision (6/30 to 6/120). After three months of surgery, 76.9% patients had visual acuity of >6/18. The difference in visual outcome at 3rd month evaluation between blunt and penetrating ocular injury was statistically insignificant (p=0.813). The younger age was significantly associated with better visual acuity (p=0.016).
Patients receiving foldable IOL showed statistically better result (p=0.0231) as compared to rigid IOL. Conclusion: Traumatic cataract occurs mostly in young, active males who are mostly illiterate. IOL is the treatment of choice. Younger age of the patient, early surgery, implantation of foldable lens in intact capsular bag are favorable factors for achieving good visual acuity (>6/18).
Keywords: BETTS, Blunt injury, IOL, Penetrating injury, Traumatic cataract.
How to cite : Singhal A , Sharma A , Sasirekha M, Visual outcome in patients operated for traumatic cataract: A prospective hospital based study. Indian J Clin Exp Ophthalmol 2020;6(4):563-567
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