Purchase this article with an account.
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.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To determine the clinical presentation, trauma mechanisms, management and surgical outcomes in adult patients diagnosed with traumatic cataract
Retrospective, observational study of clinical records in the period between 2010 to 2012
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)
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
This PDF is available to Subscribers Only