April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Management and results of 80 traumatic cataract cases in adults at the reference center, Conde de Valenciana Institute of Ophthalmology - Mexico City. A 2 year review
Author Affiliations & Notes
  • Alberto Carlos Abdala Figuerola
    Oftalmologia, Instituto Oftalmologia Conde Valenciana, Mexico DF, Mexico
  • Jorge C Córdova-Cervantes
    Oftalmologia, Instituto Oftalmologia Conde Valenciana, Mexico DF, Mexico
  • Miriam Lopez-Salas
    Oftalmologia, Instituto Oftalmologia Conde Valenciana, Mexico DF, Mexico
  • Humberto Matiz-Moreno
    Oftalmologia, Instituto Oftalmologia Conde Valenciana, Mexico DF, Mexico
  • Juan Carlos Serna-Ojeda
    Oftalmologia, Instituto Oftalmologia Conde Valenciana, Mexico DF, Mexico
  • Footnotes
    Commercial Relationships Alberto Carlos Abdala Figuerola, None; Jorge Córdova-Cervantes, None; Miriam Lopez-Salas, None; Humberto Matiz-Moreno, None; Juan Carlos Serna-Ojeda, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 1568. doi:
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      Alberto Carlos Abdala Figuerola, Jorge C Córdova-Cervantes, Miriam Lopez-Salas, Humberto Matiz-Moreno, Juan Carlos Serna-Ojeda; Management and results of 80 traumatic cataract cases in adults at the reference center, Conde de Valenciana Institute of Ophthalmology - Mexico City. A 2 year review. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1568.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To determine the clinical presentation, trauma mechanisms, management and surgical outcomes in adult patients diagnosed with traumatic cataract

Methods: Retrospective, observational study of clinical records in the period between 2010 to 2012

Results: 80 patients were included, out of which 67 (83.75%) were male. The mean age of presentation was 46 years (range 18-82 years). Time between trauma and the initial consult varied from 4 hours to 63 years with a mean of 1 year. Best corrected visual acuity (BCVA) in the initial consult had a mean of 3/200 with a range from 20/30 to light perception. 64 patients (80%) suffered a closed globe trauma and 16 (20%) an open globe trauma. In 23.8% of the cases the trauma was due to an accident. Total white cataract was the most common morphology in 47.5% of cases (n=38). 96.25% (n=77) of cases were managed with phacoemulsification. 13.7% (n=11) requiered capsular tension rings and 22.5% (n=18) anterior automated vitrectomy. In 53% of the cases an in-the-bag intraocular lens (IOL) was implanted. Final BCVA was 20/30 (range from 20/20 to hand motions) with 47 patients (58.75%) achieving a BVCA of 20/40 or better. The mean final refraction was a spherical equivalent of -0.56D (range between -3.50 to +2.00)

Conclusions: The most frequent trauma mechanism was the closed globe trauma due to contusion. Phacoemulsification with in-the-bag IOL was the most common surgical procedure performed. A best corrected visual acuity of 20/40 or better was achieved in the majority of cases

Keywords: 445 cataract • 742 trauma • 463 clinical (human) or epidemiologic studies: prevalence/incidence  
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