Surgical treatment, clinical outcomes, and complications of traumatic cataract: retrospective study

• Published in: Croatian medical journal Vol. 45; no. 3; pp. 310 - 313
• Main Authors: Lacmanović Loncar, Valentina, Petric, Ivanka
• Format: Journal Article
• Language: English
• Published: Croatia 01.06.2004
• Subjects: Adolescent; Adult; Cataract - etiology; Cataract Extraction - adverse effects; Child; Child, Preschool; Eye Injuries, Penetrating - complications; Eye Injuries, Penetrating - surgery; Female; Hospitals, University; Humans; Intraoperative Complications; Lens Capsule, Crystalline; Lens Implantation, Intraocular; Male; Middle Aged; Phacoemulsification - methods; Postoperative Complications; Retrospective Studies; Treatment Outcome; Visual Acuity
• ISSN: 0353-9504

To analyze clinical outcomes and complications after traumatic cataract extractions because of post-traumatic lens opacification. We performed a retrospective analysis of 24 eyes with traumatic cataract surgically treated between May 2000 and June 2003. Preoperative visual acuity, postoperative best corrected visual acuity, and preoperative, intraoperative, and postoperative complications were analyzed for all eyes. Most patients were young men, with preoperative visual acuity of 0.05-0.1, who underwent surgery between one and six months after the trauma. We found corneal scar in 5 eyes, rupture of the anterior capsule in 4 eyes, sphincter damage in 2 eyes, anterior synechiae in 3 eyes, iridodialysis in one eye, zonullar loss in one eye, and macular scar in one eye. Mild or moderate postoperative complications occurred in 9 out of 24 cases. Visual acuity improved in 17 eyes. Seven out of 24 patients did not benefit from cataract surgery because of traumatic involvement of the retina and opacification of posterior capsule. The majority of the eyes with traumatic cataract were safely rehabilitated with intraocular lens implantation.