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K. Yoon, K. Yang, S. Song, S. Jeong, M. Seo, Y. Park; Clinical Analysis of Traumatic Cataract with Corneal Laceration in Children . Invest. Ophthalmol. Vis. Sci. 2003;44(13):275.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To evaluate the visual outcome according to the operation method, prognostic factor, and postoperative complication in children with traumatic cataract and corneal laceration. Methods: We retrospectively analyzed 34 children, 10 years or younger, with traumatic cataract and cornea laceration undergoing operation with a minimum follow-up period of one year. Results: Twenty-four eyes(70.6%) and 13 eyes(38.2%) demonstrate final visual acuity of 0.4 or better and 0.8 or better, retrospectively. Age, duration between trauma and operation, and size of corneal laceration had no relation to the final vision, but visual prognosis was poor in cases of involvement of vitreous body and retina(P<0.05). Sixteen eyes(84.2%) of 19 eyes with intraocular lens(IOL) and 8 eyes(53.3%) of 15 eyes without IOL achieved final visual acuity of 0.4 or better, and there was significant difference between two groups(P<0.05). Postoperative complications were posterior capsular opacification(38.2%), pupillary capture(23.5%), etc., and there was poor final visual acuity in cases of endophthalmitis(8.8%) and retinal detachment(8.8%) Conclusions: In children with traumatic cataract and corneal laceration, if the posterior segment is not involved, cataract operation with IOL implantation results in satisfactable visual outcome.
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