Our Visual Results in Traumatic Cataract Cases
Keywords:
Complication, traumatic cataract, visual prognosis.Abstract
Aım: The aim of this study is to evaluate the visual results in our cases with traumatic cataract and to examine the factors affecting the level of vision.
Materıal-Method: In our study, the files of 27 cases with traumatic cataract because of ocular trauma October 2017 and May 2020 were reviewed retrospectively. Demographic data, type of injury, accompanying findings, treatment applied, follow-up period, and best corrected visual acuity of all patients were recorded.
Results: Twenty-two (81.4%) of the cases were male and 5 (18.5%) were female. The mean age was 35.8±19.3 years (4-76 years). The mean follow-up period was 6.8±6.6 months (1-24 months). The most common causes of trauma were sharp metal objects (29.6%), wood pieces (25.9%), and glass pieces (11.1%). Seventeen (62.9%) cases were corneal perforation, 5 (18.5%) cases were cornea-scleral perforation, and 4 (14.8%) cases were scleral perforation. There were hyphema in 11 (40.7%) cases, vitreous loss in 8 (29.6%) cases, intraocular foreign body in 7 (25.9%) cases, intraocular hemorrhage in 4 (14.8%) cases, iridodialysis in 3 (11.1%) cases and retinal detachment in 1 (3.7%) case. Cataract operation was performed in 13 cases (48.1%). Visual acuity improved in 74% of the patients at the last control.
Dıscussıon: There is no certain surgical technique and timing for traumatic cataract surgery. Satisfactory visual results can be obtained with the most appropriate treatment by evaluating each case on its own.
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