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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Visual Outcome of Cataract Surgery After Primary IOL Implantation in Traumatic Cataract in West Bengal Region

Sujatha Gupta
Page: 179-182 | Received 10 Oct 2013, Published online: 15 Dec 2013

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Abstract

Ocular trauma often leads to traumatic cataract, which continues to be a major cause of visual impairment and physical handicap despite improvements in diagnosis and treatment. Eye injury remains a topic of contention and the discussion about how to manage it continues. The international categorization of eye injuries suggested over 15 years ago has to be reassessed and made more reliable in terms of forecasting the result of open‐globe injury (OGI). Material and methods: This was a research that followed 100 participants who underwent cataract surgery with primary intraocular lens (IOL) implantation for traumatic cataract at a specialized facility. All patients who had traumatic cataract due to a penetrating injury and received early cataract removal with the implantation of a primary intraocular lens. The primary criterion we used was visual clarity at 3 to 6 months, evaluated using Snellen’s chart. Results: 100 eyeballs from 100 patients were included in the study. The majority of patients were males and aged 35 years or younger. All eyes experienced impaired vision during the presentation. The preoperative examination revealed peripheral corneal perforation in 90 eyes, central corneal perforation in 6 eyes, abnormal pupil in 30 eyes and posterior synaechiae in 14 eyes. After the surgery, the eyesight was satisfactory (6/6‐6/12) in 55 eyes, somewhat uncertain in 40 eyes and unsatisfactory (= 6/60) in 5 eyes. The main reason for reduced visual clarity was mostly due to cloudiness in the cornea and the area behind the lens. Conclusion: In the past twenty years, efforts have been undertaken to tackle these problems and significant advancements have been achieved in various areas of the effective treatment of traumatic cataracts. It is not usually required to remove the cataract during the initial operation. Primary cataract surgery can also lead to positive outcomes in certain people. Unfavourable outlook is linked to the presence of visual axis involvement and difficulties in the posterior region. The significance of eye protection should be highlighted to the high‐risk group through ongoing and consistent health education.


How to cite this article:

Sujatha Gupta. Visual Outcome of Cataract Surgery After Primary IOL Implantation in Traumatic Cataract in West Bengal Region.
DOI: https://doi.org/10.36478/10.59218/makrjms.2013.179.182
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2013.179.182