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Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients.

Shah M, Shah S, Shah S, Prasad V, Parikh A - Indian J Ophthalmol (2011 May-Jun)

Bottom Line: Six weeks postoperatively, the visual acuity in the operated eye was >20/60 in 193 (48%) and 49 (29%) eyes in Groups 1 and 2, respectively (P = 0.002, ANOVA).At follow-up, >20/60 vision was significantly higher in Group 1 than in Group 2 (OR = 1.61; 95% CI, 0.85-3.02).Overall 242 (43.5%) eyes gained a final visual acuity of >20/60.

View Article: PubMed Central - PubMed

Affiliation: Drashti Netralaya, Dahod, Gujarat, India. omtrust@rediffmail.com

ABSTRACT

Aim: The aim was to evaluate the visual recovery after managing traumatic cataracts and determine the predictors of a better visual prognosis.

Materials and methods: This was a prospective study. We enrolled patients with specific inclusion criteria, examined their eyes to review the comorbidities due to trauma, performed surgery for traumatic cataracts, and implanted lenses. The patients were reexamined 6 weeks postoperatively. We divided the cases of traumatic cataract into two groups, the "open globe" (Group 1) and "closed globe" (Group 2) groups, according to the ocular trauma based on the Birmingham Eye Trauma Terminology System (BETTS) and compared the determinants of visual acuity.

Results: Our cohort of 555 eyes with traumatic cataracts included 394 eyes in Group 1 and 161 in Group 2. Six weeks postoperatively, the visual acuity in the operated eye was >20/60 in 193 (48%) and 49 (29%) eyes in Groups 1 and 2, respectively (P = 0.002, ANOVA). At follow-up, >20/60 vision was significantly higher in Group 1 than in Group 2 (OR = 1.61; 95% CI, 0.85-3.02). Overall 242 (43.5%) eyes gained a final visual acuity of >20/60.

Conclusions: Open globe injury has a favorable prognosis for satisfactory (>20/60) visual recovery after the management of traumatic cataracts.

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Distribution of trauma according to Birmingham Eye Trauma Terminology System
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Figure 2: Distribution of trauma according to Birmingham Eye Trauma Terminology System

Mentions: Our cohort consisted of 555 patients with traumatic cataracts [Fig. 2]. There were 394 eyes with open globe ocular injuries (Group 1) and 161 eyes with closed globe injuries (Group 2; Fig. 2). The patients included 388 (69.9%) males and 167 (30.1%) females. The mean patient age was 27.9 ΁ 18.64 years (range, 1–80).


Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients.

Shah M, Shah S, Shah S, Prasad V, Parikh A - Indian J Ophthalmol (2011 May-Jun)

Distribution of trauma according to Birmingham Eye Trauma Terminology System
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3120243&req=5

Figure 2: Distribution of trauma according to Birmingham Eye Trauma Terminology System
Mentions: Our cohort consisted of 555 patients with traumatic cataracts [Fig. 2]. There were 394 eyes with open globe ocular injuries (Group 1) and 161 eyes with closed globe injuries (Group 2; Fig. 2). The patients included 388 (69.9%) males and 167 (30.1%) females. The mean patient age was 27.9 ΁ 18.64 years (range, 1–80).

Bottom Line: Six weeks postoperatively, the visual acuity in the operated eye was >20/60 in 193 (48%) and 49 (29%) eyes in Groups 1 and 2, respectively (P = 0.002, ANOVA).At follow-up, >20/60 vision was significantly higher in Group 1 than in Group 2 (OR = 1.61; 95% CI, 0.85-3.02).Overall 242 (43.5%) eyes gained a final visual acuity of >20/60.

View Article: PubMed Central - PubMed

Affiliation: Drashti Netralaya, Dahod, Gujarat, India. omtrust@rediffmail.com

ABSTRACT

Aim: The aim was to evaluate the visual recovery after managing traumatic cataracts and determine the predictors of a better visual prognosis.

Materials and methods: This was a prospective study. We enrolled patients with specific inclusion criteria, examined their eyes to review the comorbidities due to trauma, performed surgery for traumatic cataracts, and implanted lenses. The patients were reexamined 6 weeks postoperatively. We divided the cases of traumatic cataract into two groups, the "open globe" (Group 1) and "closed globe" (Group 2) groups, according to the ocular trauma based on the Birmingham Eye Trauma Terminology System (BETTS) and compared the determinants of visual acuity.

Results: Our cohort of 555 eyes with traumatic cataracts included 394 eyes in Group 1 and 161 in Group 2. Six weeks postoperatively, the visual acuity in the operated eye was >20/60 in 193 (48%) and 49 (29%) eyes in Groups 1 and 2, respectively (P = 0.002, ANOVA). At follow-up, >20/60 vision was significantly higher in Group 1 than in Group 2 (OR = 1.61; 95% CI, 0.85-3.02). Overall 242 (43.5%) eyes gained a final visual acuity of >20/60.

Conclusions: Open globe injury has a favorable prognosis for satisfactory (>20/60) visual recovery after the management of traumatic cataracts.

Show MeSH
Related in: MedlinePlus