Visual Outcome and Post-Operative Complications of Traumatic Cataract

Abstract

BACKGROUNDOcular trauma is a major cause of visual impairment throughout the world, although little is known about its visual outcome in developing countries. AIMS AND OBJECTIVESTo assess the visual outcomes and post-operative complications following the management of traumatic cataracts. MATERIAL AND METHODSThis prospective hospital-based study was conducted on 40 patients of traumatic cataract. Patients were managed with lens extraction and intraocular lens implantation. Regular follow-up of patients was done and best corrected visual acuity and postoperative complications were assessed at the end of six months. RESULTSOur study showed that majority (50%) of patients were in the age group of <20 years with male preponderance; 37 cases (92.5%) were succesfully rehabilitated with IOL implantation as primary or secondary procedure. Out of 40 cases, BCVA of 6/18 -6/6 was recorded in 28 cases (70%), 6/36 -6/24 in 8 cases (20%) and had BCVA of equal to or less than 6/60 in 10 cases. Most common complications reported were anterior chamber reaction and Posterior Capsular Opacification (PCO). CONCLUSIONS92.5% patients were safely rehabilitated with cataract extraction and IOL implantation and 70% had BCVA of 6/18 -6/6. Posterior capsular opacification and uveitis were the common post-operative complications.