Causes, epidemiology, and long-term outcome of traumatic cataracts in children in rural India

Gogate, Parikshit; Sahasrabudhe, Mohini; Shah, Mitali; Patil, Shailbala; Kulkarni, Anil N.

doi:10.4103/0301-4738.100557

Cited by 38 publications

(55 citation statements)

References 13 publications

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“…[14] while Gogate P et al observed traumatic cataract in 48.8% of cases due to blunt trauma and 39% of cases due to sharp trauma. [15] In our study wooden material like stick, thorn was the major cause of traumatic cataract which matches closely with study of Memon MN et al [13] and Shah MA. [16] In our study, 67.5% had total cataract which matches with study of Panda A et al, which had 74% total cataract.…”

Section: Resultssupporting

confidence: 77%

“…[11] and Gogate P et al in 90.2% of patients. [15] Most common complications reported in our study were anterior chamber reaction and PCO, which is consistent with study of Memon MN et al [13] , Zaman M et al [9] , Synder et al [12] , Loncar VL et al [19] , Kumar S et al [17] Patients with uveitis were given topical corticosteroids (Prednisolone acetate 1% eye drops) and cycloplegics and they responded within six weeks. One (2.5%) patient with PCIOL in our study had intractable raised IOP; peripheral laser iridotomy was done and later on IOP remained normal.…”

Section: Initialsupporting

confidence: 81%

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Visual Outcome and Post-Operative Complications of Traumatic Cataract

Sofi¹,

Bharti²,

Gupta³

et al. 2016

jemds

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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.

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Section: Resultssupporting

confidence: 77%

Section: Initialsupporting

confidence: 81%

Visual Outcome and Post-Operative Complications of Traumatic Cataract

Sofi¹,

Bharti²,

Gupta³

et al. 2016

jemds

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show abstract

“…At the time of discharge with best correction, 43.4% subjects attained normal vision while 31.3% subjects had visual acuity 3/60 or less and 31.8% subjects had visual acuity less than 6/60 ( Gogate et al (2012) also found poor visual outcome in girls compared to boys 11 The visual outcome also appears to vary among various age groups in our study. We found that older children attained better In the study, visual outcome appears to be nonsignificantly better in the subjects who sustained …”

supporting

confidence: 49%

“…11 But a large study reporting traumatic cataracts from tribal regions of India had young adults with traumatic cataracts equally common in both the genders.…”

Section: Discussionmentioning

confidence: 99%

Visual outcome of cataract surgery with IOL implantation in traumatic cataract among 189 children: The Lahan experience

Puri

2017

J Chitwan Med Coll

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Trauma is an important cause of monocular blindness in the developing world. This study aims to determine the demographic profile and visual outcome of cataract surgery among the children with traumatic cataract. It was a prospective and longitudinal study of 189 consecutive children below 16 years who underwent cataract surgery with intra ocular lens(IOL) implantation for traumatic cataract at Sagarmatha Choudhary Eye Hospital, Lahan, Nepal from October 2012 to March 2014. Assessment included visual acuity measurement in the Snellen's chart or the Cardiff card, anterior segment examination with slit lamp, dilated fundus examination with the help of +20D lens in indirect ophthalmoscope, B-scan ultrasonography of posterior segment and objective and subjective refraction. Follow up was scheduled at first post-operative day, at discharge, one month and three months. Cause and type of trauma, demographic factors, surgical intervention, complications, and visual acuity was recorded. Among 189, majority of them were males (73%) and the average age was 8.8±3.6 years. The time of presentation ranged from 3 days to 8 years (median age two months). Wooden stick was the most common cause of injury (34.4%). The average preoperative visual acuity in logMAR scale was 1.6. The average postoperative visual acuity in logMAR scale was 0.8. Eye injuries with traumatic cataract are associated with significant visual impairment. Cataract surgery with intraocular lens implantation restores vision significantly.

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“…Numerous studies on traumatic paediatric cataract have been published from Asian countries such as India, (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) Pakistan, (15,16) Nepal (17)(18)(19) and Korea. (20) However, a PubMed database search of published literature on traumatic paediatric cataracts from developing countries in the Southeast Asian region revealed that no such data is available.…”

Section: Introductionmentioning

confidence: 99%

Clinical profile and visual outcome of traumatic paediatric cataract in suburban Malaysia: a ten-year experience

Adlina¹,

Chong²,

Shatriah

2014

smedj

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METHODSWe conducted a retrospective study of 29 children below 17 years of age who were diagnosed with traumatic paediatric cataract and who attended Hospital Universiti Sains Malaysia, Kelantan, Malaysia, between January 2000 and December 2010. Follow-up periods ranged from 12 to 120 months. Demographic data, clinical features, mechanism and extent of injury, and final visual outcome were recorded. RESULTSThe study population was predominantly male. The right eye was injured in 62.07% of patients. A majority of patients had penetrating injuries, with the most common cause being injury by an organic foreign body (24.14%). Presenting visual acuity worse than 6/60 was observed in 68.97% of patients. Only 34.48% of patients had a final corrected visual acuity of 6/12 and better. 55.18% of patients were operated on within less than one month of their injuries. A majority of children sustained concurrent injuries to the anterior segment structures. Corneal opacity and amblyopia were the most common causes of poor final visual acuity.CONCLUSION Health education and awareness are essential tools that can prevent avoidable blindness due to traumatic cataract in the paediatric population. The importance of rehabilitation programmes for these patients should be emphasised.

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Causes, epidemiology, and long-term outcome of traumatic cataracts in children in rural India

Cited by 38 publications

References 13 publications

Visual Outcome and Post-Operative Complications of Traumatic Cataract

Visual Outcome and Post-Operative Complications of Traumatic Cataract

Visual outcome of cataract surgery with IOL implantation in traumatic cataract among 189 children: The Lahan experience

Clinical profile and visual outcome of traumatic paediatric cataract in suburban Malaysia: a ten-year experience

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