Aim To study the morphology of traumatic cataract as an important predictor for final visual outcome after treatment of traumatic cataracts. Setting Tertiary eye care centre in Dahod at the trijunction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. Methods This was a prospective observational cohort study among all patients presenting at the hospital with traumatic cataracts between January 2003 and December 2009. All information regarding demographic and ocular trauma was collected on a pretested World Eye Trauma Registry form for both the first visit and follow-up. In particular, the authors collected specific information about the morphology of traumatic cataracts; the surgical technique was determined accordingly. Data were entered and analysed with regard to the relationship between type of trauma and resulting injury, results achieved with particular surgical techniques, and the relationship between morphology and final visual outcome. Outcome measu...

Background:Objective: To evaluate the causes, type of injury, place of injury, morphology of cataract, management, visual outcome, and post-operative complications of traumatic cataract.Design: Prospective, interventional study.Setting: Department of Ophthalmology, Fauji Foundation Hospital, Rawalpindi.Methods: This study was conducted at the Department of Ophthalmology, Fauji Foundation Hospital, Rawalpindi, from 1st November, 2012 to 31st September, 2015. All cases of traumatic cataract were included in this study, except those lost to early follow up. A detailed history, presenting visual acuity, ocular examination including complete anterior and posterior segment examination, to see other associated injuries, intraocular pressure assessment, and B-scan ultrasonography when required, were performed. Patients were treated medically or surgically as the case may be. Post-operative complications were noted. Best corrected post-operative vision was evaluated for each case. The average follow up was 11 months.Results: A total of 33 cases of traumatic cataract were studied with 25 pediatric patients. There was a male preponderance with 2:1 male to female ratio. The commonest agent of trauma was thorn in 6 (18.2%) eyes, followed by wooden stick in 4 (12.1%) and stones in 3 (9.1%). Most of the cataracts were as a result of blunt trauma in 18 (54.5%) cases, with 1 case pertaining to electric shock, and a predominant involvement of the anterior segment was seen, in 26 (78.8%) eyes. Various morphologies were encountered, with total cataract being the commonest in 22 (66.6%) eyes, followed by mixed anterior and posterior subcapsular cataract in 5 (15.2%) eyes. Associated trauma to various structures was also observed. The commonest places of injury were home and farmland. The average time lag between trauma occurrence and hospital presentation was 14.5 ± 35 days. Although, 6/6 vision was achieved post-operatively in 11 (33.3%) eyes, the best corrected final visual outcome compared to pre-operative visual acuity was not found to be statistically significant (p=0.208). This can be attributed to various factors. All cases were managed surgically; with Intraocular lens (IOL) implantation either primarily or at a later stage in eyes with good visual potential, the pre-existing inflammation being controlled medically. Posterior capsular opacification was the most common complication in 29 (87.8%) eyes, followed by fibrinous uveitis and glaucoma in 10 (30.3%) eyes each.Conclusion: Surgical management of traumatic cataracts if done with complete pre-operative evaluation, a careful surgical approach, and a good post-operative management, is a safe and effective means of vision restoration. Visual outcome is limited by associated ocular structural damage. (15) (PDF) Traumatic Cataract: Our experience. Available from: https://www.researchgate.net/publication/320426284_Traumatic_Cataract_Our_experience#fullTextFileContent [accessed Mar 25 2021].

Abstract— Traumatic cataract is the commonest complication causing diminution of the vision following any type of ocular injury. It causes serious visual disability in working population So this study was aimed to analyse the post traumatic cataract cases and to observed its surgical outcomes. This study was conducted on 47 post traumatic cataract cases attended at Opthalmology department of SMS Medical college, Jaipur. Present study observed that males predominate over females in traumatic cataract with M:F ratio 2.7 and majority (59%) of cases were below 20 years of age. The most common mode of injury was wooden stick in 40.43% cases followed by stone in 23.40%. 85.5% patients had pre operative visual acuity below hand movement in affected eye. In most of the cases IOL was implanted successfully and only one case left aphakic due to inadequate zonular support. Intraoperative posterior capsular rent occured in 1 case, and vitreous prolapse in 2 cases. Postoperative complications were striate keratopathy, AC reaction, residual cortical matter and hyphema. In this study final visual outcome in affected eye were as follows-44.68% patients -20/20 – 20/30, 38.30% patients – 20/40 -20/60. 82.98% patients were gain satisfactory final visual outcome. 17.02% patients have visual acuity below 20/80, due to the co-morbidity.10.64% patients have posterior capsular opacification, 6.38% patients have vitreous hemorrhage and one patient have aphakia with vitreous hemorrhage. These all patients were referred for further management. This study concluded that final visual outcome in traumatic cataract patients in closed globe injuries is clearly related to extent of damage to anterior and posterior segment. PCIOL implantation is the best way of rehabilitation of traumatic cataract cases. Further with better surgical techniques and instrumentation, minimal handling of tissues during surgery and good pre-operative and post-operative control of inflammation better results can be achieved.

Aims and Objective 1. The incidence of traumatic cataract patients attending hospital 2. The associated ocular morbidities of traumatic cataract. 3. To assess the visual outcome following cataract surgeries in eyes with traumatic cataract Methods and materials: A total of 50 patients with traumatic cataract were taken up for the study. A thorough history and a detailed ocular examination were done. After proper pre-operative investigations and preparation, patients underwent surgery. Results and observation: Among the 50 cases of Traumatic cataract, 17 cases (34%) were less than 10 years of age. A male preponderance was seen .37(74%) were males and 13 (26%) were females. 28 (56%) cases were due to blunt trauma and 22 cases (44%) were due to penetrating injury. Corneal involvement was the commonest in the form of corneal scars, opacity etc. 39 cases (78%) underwent SICS with PCIOL implantation. Lens aspiration with PCIOL in 3 cases, phacoemulsification with PCIOL in 4 (8%) cases. The final visual acuity recorded at the end of 6 weeks was found to be 6/6-6/18 in 23 (79.31%) cases, less than 6/18-3/60 in 9 cases (19.15%) cases, none of the patients had a visual acuity less than 6/60. Conclusion: Visual prognosis depends on early reporting and diagnosis followed by proper management.

Background: Traumatic cataracts pose a challenge to ophthalmologists, as they have an increased incidence of associated ocular abnormalities and intraoperative complications. Hence, astute surgical planning, careful surgical management and an intense post-operative follow up regime are imperative in the management of traumatic cataracts, to attain a reasonable visual outcome. The aim of the study was to investigate visual outcome of different treatment modalities of traumatic cataract. Methods: This prospective study was carried out on 50 patients in the Department of Ophthalmology, Government Medical College, Ernakulam, from January 2009 to December 2011. The different treatment modalities undertaken in the current study were Small Incision Cataract Surgery (SICS) and Posterior Chamber Intra Ocular Lens (PCIOL) Implantation, Lens aspiration and PCIOL implantation, SICS with Anterior Chamber Intra Ocular Lens (ACIOL), Lens removal, vitrectomy and primary ACIOL implantation, Intra Ocular Foreign Body (IOFB) removal, lens aspiration and ACIOL implantation, Lens removal and vitrectomy and SICS Implantation. Results: In the current study, SICS and Posterior Chamber Intra Ocular Lens (PCIOL) implantation was the most common operation (54%) performed. Out of 50, only 3 patients (6%) had a visual acuity of 6 /60 and 9(18%) had acuity of 6 /36. Three patients (6%) could achieve an acuity of 6/6. The patients who underwent SICS with PCIOL could achieve better overall visual acuity. Conclusion: The best visual outcome was obtained in patients who underwent SICS and PCIOL implantation. In our series 69.6% of patients could achieve acuity of 6/18 or more at the end of follow up.