Abstract
Purpose
To compare the visual outcome of primary versus secondary traumatic cataract extraction and primary versus secondary intraocular lens (IOL) implantation.
Methods
The medical charts of consecutive patients who developed cataract following open and closed-globe injuries and were referred to our institute were reviewed. The best-corrected visual acuity of the patients who underwent primary and secondary cataract extraction and those with primary and secondary IOL implantation was assessed at presentation and at the end of the follow-up.
Participants
Sixty-nine eyes of 69 patients developed cataract after being involved in ocular trauma. Forty-five eyes had open-globe injury and 24 had closed-globe injury. The right eye was involved in 26 injuries and the left in 43.
Results
Best-corrected visual acuity (BCVA) of 20/40 or better was not statistically associated with the type of cataract extraction (extracapsular versus phacoemulsification) (in open-globe injury p = 0.181 and in all p = 0.662) and placement of anterior or posterior IOL (in open-globe injury p = 0.196 and in all p = 0.114). The timing of surgery (as immediate surgery or later as a second surgery) and the timing of intraocular lens implantation (during the extraction of the cataract or later in a secondary procedure) were not statistically associated with BCVA of 20/40 or better (in open-globe injury p = 0.322 and 0.381 in all p = 0.460 and 0.450, respectively). Irreversible amblyopia in children was a statistically significant factor for this visual acuity both in patients with open-globe injury (p = 0.036) and in all patients (p < 0.001).
Conclusions
In traumatic cataract, the visual outcome did not differ between primary and secondary cataract extraction and between primary and secondary IOL implantation in adults. In the amblyogenic age, primary surgery with IOL implantation should be preferred.
Similar content being viewed by others
References
Dannenberg AL, Praver LM, Brechner RJ, Khoo L (1992) Penetrating eye injuries in the workplace. The National Eye Trauma System Registry. Arch Ophthalmol 110:843–848
Slusher MM, Greven CM, Yu DD (1992) Posterior chamber intraocular lens implantation combined with lensectomy-vitrectomy and intraretinal foreign-body removal. Arch Ophthalmol 110:127–129
Pieramici DJ, Sternberg P Jr, Aaberg TM Sr et al (1997) A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol 123:820–831
Churchill AJ, Noble BA, Etchells DE, George NJ (1995) Factors affecting visual outcome in children following uniocular traumatic cataract. Eye 9:285–291
Gupta AK, Grover AK, Gurha N (1992) Traumatic cataract surgery with intraocular lens implantation in children. J Pediatr Ophthalmol Strabismus 29:73–78
Brady KM, Atkinson CS, Kilty LA, Hiles DA (1995) Cataract surgery and intraocular lens implantation in children. Am J Ophthalmol 120:1–9
Sheppard RW, Crawford JS (1973) The treatment of congenital cataracts. Surv Ophthalmol 17:340–347
Eriksen JR, Bronsard A, Mosha M et al (2006) Predictors of poor follow-up in children that had cataract surgery. Ophthalmic Epidemiol 13:237–243
Author information
Authors and Affiliations
Corresponding author
Additional information
The authors have no proprietary or financial interests in this study.
Presented in part at the 12th American Academy of Ophthalmology Annual Meeting, Atlanta, GA, November 2008
Rights and permissions
About this article
Cite this article
Rumelt, S., Rehany, U. The influence of surgery and intraocular lens implantation timing on visual outcome in traumatic cataract. Graefes Arch Clin Exp Ophthalmol 248, 1293–1297 (2010). https://doi.org/10.1007/s00417-010-1378-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-010-1378-x