Original Research Article
Year: 2020 | Month: November | Volume: 7 | Issue: 11 | Pages: 185-189
Assessment of the Visual Outcome of Different Treatment Modalities of Traumatic Cataract
Dhanya V S, Radha Nair, Manju Abraham
Department of Ophthalmology, Government Medical College, Ernakulam, India
Corresponding Author: Dhanya V S
ABSTRACT
Background: Traumatic cataracts pose a challenge to ophthalmologists, as they have an increased incidence of associated ocular abnormalities and intraoperative complications. Hence, astute surgical planning, careful surgical management and an intense post-operative follow up regime are imperative in the management of traumatic cataracts, to attain a reasonable visual outcome. The aim of the study was to investigate visual outcome of different treatment modalities of traumatic cataract.
Methods: This prospective study was carried out on 50 patients in the Department of Ophthalmology, Government Medical College, Ernakulam, from January 2009 to December 2011. The different treatment modalities undertaken in the current study were Small Incision Cataract Surgery (SICS) and Posterior Chamber Intra Ocular Lens (PCIOL) Implantation, Lens aspiration and PCIOL implantation, SICS with Anterior Chamber Intra Ocular Lens (ACIOL), Lens removal, vitrectomy and primary ACIOL implantation, Intra Ocular Foreign Body (IOFB) removal, lens aspiration and ACIOL implantation, Lens removal and vitrectomy and SICS Implantation.
Results: In the current study, SICS and Posterior Chamber Intra Ocular Lens (PCIOL) implantation was the most common operation (54%) performed. Out of 50, only 3 patients (6%) had a visual acuity of 6 /60 and 9(18%) had acuity of 6 /36. Three patients (6%) could achieve an acuity of 6/6. The patients who underwent SICS with PCIOL could achieve better overall visual acuity.
Conclusion: The best visual outcome was obtained in patients who underwent SICS and PCIOL implantation. In our series 69.6% of patients could achieve acuity of 6/18 or more at the end of follow up.
Keywords: Ocular abnormalities, Traumatic cataract, Visual outcome.
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