BACKGROUNDOcular trauma is a major cause of visual impairment throughout the world, although little is known about its visual outcome in developing countries. AIMS AND OBJECTIVESTo assess the visual outcomes and post-operative complications following the management of traumatic cataracts. MATERIAL AND METHODSThis prospective hospital-based study was conducted on 40 patients of traumatic cataract. Patients were managed with lens extraction and intraocular lens implantation. Regular follow-up of patients was done and best corrected visual acuity and postoperative complications were assessed at the end of six months. RESULTSOur study showed that majority (50%) of patients were in the age group of <20 years with male preponderance; 37 cases (92.5%) were succesfully rehabilitated with IOL implantation as primary or secondary procedure. Out of 40 cases, BCVA of 6/18 -6/6 was recorded in 28 cases (70%), 6/36 -6/24 in 8 cases (20%) and had BCVA of equal to or less than 6/60 in 10 cases. Most common complications reported were anterior chamber reaction and Posterior Capsular Opacification (PCO). CONCLUSIONS92.5% patients were safely rehabilitated with cataract extraction and IOL implantation and 70% had BCVA of 6/18 -6/6. Posterior capsular opacification and uveitis were the common post-operative complications.
Introduction: To study the comparison of post operative corneal astigmatism following frown versus chevron incision in manual small incison in manual small incision cataract surgery. Material and Methods:The study was conducted at govt. medical college jammu over a period of one year. The study includes a total of 100 pts. With age related cataract and were divided into two groups of 50 each. Detailed ocular examination of the cases with calculation of preoperative astigmatism were carried out in eye OPD. Results: st rd th th st All cases were assessed postoperatively at 1 , 3 , 6 and 12 week for surgical induced astigmatism .At the end of 1 week surgical induced astigmatism of more than 1D was seen in 72% pts. of group 1 with frown incision as compared to 48 % in group 2 with chevron incision. At the end of 12 weeks 54% of cases in group 1 with frown incision and only 8% in group 2 with chevron incision had astigmatism of more than 1 D. The difference between the two groups was statistically signicant. Conclusion: It is possible to reduce the amount of postoperative astigmatism signicantly by choosing the incision shape .Surgical induced astigmatism is less seen in patients with chevron incision as compared to patients with frown incision.
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