Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study
Objective: The study aimed to assess the visual outcomes following cataract surgery in children diagnosed with traumatic cataracts. Methods: A cross-sectional study was conducted at the Isra Postgraduate Institute of Ophthalmology, Karachi, from December 2020 to June 2021. Children aged 5 to 15 ye...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dow University of Health Sciences
2025-04-01
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| Series: | Journal of the Dow University of Health Sciences |
| Online Access: | https://jduhs.jduhs.duhs.edu.pk/index.php/jduhs/article/view/2438 |
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| Summary: | Objective: The study aimed to assess the visual outcomes following cataract surgery in children diagnosed with traumatic cataracts.
Methods: A cross-sectional study was conducted at the Isra Postgraduate Institute of Ophthalmology, Karachi, from December 2020 to June 2021. Children aged 5 to 15 years with traumatic cataract underwent cataract surgery were included in the study. Postoperative visual outcomes were assessed by measuring best-corrected visual acuity (BCVA) at day 1, week 1, week 4, and week 6 after surgery. Visual outcomes were categorized as ≤6/60, 6/36, 6/24, or 6/18 or better. Baseline data, including demographic details (age, gender, and residence), affected eye, type and cause of trauma, cataract morphology, preoperative IOP, and time interval between trauma and surgery (1 week to <1 month, 1 month to 1 year, >1 year) were recorded.
Results: Of total 163 children, the mean age was 9.67 ±2.34 years. At baseline, 149 (91.4%) of patients had BCVA ≤6/60. After excluding cases lost to follow-up, 110 patients remained. Postoperative visual improvement was observed progressively, with 94 (85.5%) achieving BCVA of 6/18 or better at six weeks (p-value < 0.001). Age >10 years (p-value 0.045), blunt trauma (p-value < 0.001), normal preoperative IOP (p-value < 0.001), and surgery within 1 month to 1 year post-trauma (p-value < 0.001) were significantly associated with better visual outcomes.
Conclusion: Cataract surgery in children with traumatic cataracts resulted in significant visual improvement, with better outcomes observed in those with older age, blunt trauma, normal preoperative intraocular pressure, and timely intervention.
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| ISSN: | 1995-2198 2410-2180 |