Visual Outcome After Cataract Extraction in Open Globe Injury

  • Dhawal Agrawal Assistant Professor KD Medical College Hospital and Research Centre, Mathura.
  • Kaiser Ali Associate Professor , KD Medical College Hospital and Research Centre, Mathura.
  • Azra Ali Environment Health and Safety Consultant, KD Medical College Hospital and Research Centre, Mathura.
Keywords: obesity, overweight, schoolchildren

Abstract

Background: Penetrating ocular trauma is a well-known cause of visual impairment in young adults and children. Cataract is the commonest complication following ocular injury.

Aims: The findings of the present study are expected to help in appropriate management of traumatic cataract cases.

Materials & Methods: This is a prospective study of 5yrs in patients of penetrating ocular trauma. Detailed history and full ophthalmic evaluation of patients was done. Most patients were operated 15 days after trauma, so inflammation gets settled. Self-sealing 2.8mm incision was made and capsulorhexis was tried and cortical aspiration was done. Children less than 12 yrs posterior capsulorhexis and anterior vitrectomy was done. If posterior capsule is torn, we tried to convert the tear in posterior capsulorhexis and anterior vitrectomy was done. Three piece and single piece lens were implanted depending upon status of capsular bag. Statistical analysis used: SSPE software

Results: Males(63.9%) and 11-30 yrs(46.1%)  age group constitute majority. Common causes of injury in children(<10years), young (11-30years) and adult (31-50 years) were wooden stick (40%), thorn(44%) and iron flying object and knife/sharp instruments(42.5%) used in household respectively. Anterior capsulorhexis was done in 15% of patient and posterior chamber lens were implanted in 97% of patients. The visual acuity at presentation was ‘the perception of light to 3mfc ' in 80.0% of cases while after surgery, it was found that 82.0% of patients had regained useful vision. Conclusion: ocular trauma, penetrating injury, traumatic cataract.

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Published
2018-03-21
How to Cite
1.
Agrawal D, Ali K, Ali A. Visual Outcome After Cataract Extraction in Open Globe Injury. IABCR [Internet]. 21Mar.2018 [cited 21Sep.2018];4(1):93-6. Available from: https://iabcr.org/index.php/iabcr/article/view/277