VISUAL OUTCOME FOLLOWING SURGERY OF TRAUMATIC CATARACT

AIM: To assess the visual outcome following traumatic cataract surgery and to assess the predictors of better visual outcome STUDY SETUP AND DESIGN: This is a prospective case study made on consecutive series of patients with traumatic cataract who underwent surgery between November 2012 to July 2013 at Government Regional eye hospital, Andhra medical college, Visakhapatnam. METHODS: Study was made on 100 eyes of 100 patients. Patient's detailed history, clinical features, pre-operative examination, surgical intervention, post-operative visual acuity and follow up refraction changes record. RESULTS: In total, 100 eyes of 100 patients were included. Out of 100 cases, 78 cases (78%) were males and 22 cases (22%) were females. Good visual acuity of 6/6 -6/18 was achieved by 70 cases, (70%) out of which 58 cases (58%) are closed globe type and 12 cases (12%) are open globe type. 4 cases (4%) achieved visual acuity of 6/24 to 6/609.(1) 26 cases (26%) achieved a poor visual outcome of < 6/60 out of which 22 cases (22%) are open globe type and 4 cases 4% are closed globe type.((2)) CONCLUSIONS: Closed globe injury has a favorable prognosis for a satisfactory better that 6/18 visual recovery after surgical management of traumatic cataract, compared to open globe type. In case of open globe injury.(3) prompt wound repair, proper use of drugs to reduce infection, inflammation followed by timely surgery may improve the visual prognosis if there is no other sight threatening injury.