Vol. 3, Issue 3 (2017)
Retrospective evaluation of the complications in patients with traumatic cataract
Author(s): Vijay Kumar Singh, Rajeev Kumar
Abstract: Background: The main cause of blindness worldwide from the last two decades is reported to be cataract even after advancement in the patterns of diagnosis and treatment. The present study was planned for the assessment of clinical outcomes and complications with secondary extraction of a traumatic cataract using retrospective study method. Materials and methods: The study was conducted in the department of ophthalmology in the institution. Review of 71 patients that undergone secondary removal of traumatic cataract was done. The mean age of the patients was 27 years (range 6-49 years). The study group constituted of 42 males and 29 females. Surgery for cataract was done after 6 months of primary repair of corneal or scleral wound. Preoperative visual acuity was assessed using Snell’s chart. Results: Preoperative complications were observed in 27 patients. Corneal scar due to a previous large corneal laceration was observed in 7 patients, anterior capsule rupture in 4 patients, anterior synechiae in 5 patients, sphincter damage in 3 patients, iridodyalisis in 2 patients, zonular loss in 3 patients, vitreous hemorrhage in a single patient and macular scar in 2 patients. Vitrectomy was done to manage posterior capsular rupture which occurred in 5 patients. Vitrectomy was not performed in case of capsular rupture of 2 cases. Due to sphincter rupture introperatively iris sutures were placed in 4 patients. Only 2 patients were observed in case of intraoperative hyphema. Conclusion: Traumatic cataract surgery is very demanding and delicate procedure. The success of postoperative surgery is dependent on age, concomitant eye injury, intraocular lens implantation, preoperative, intraoperative, and postoperative complications, and the skill and experience of the surgeon.