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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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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| author | Muhammad Azam Shahzad Memon Adnan Abdul Majeed Bibi Rafeen Talpur Sanja Sanja Madiha Chang |
| author_facet | Muhammad Azam Shahzad Memon Adnan Abdul Majeed Bibi Rafeen Talpur Sanja Sanja Madiha Chang |
| author_sort | Muhammad Azam |
| collection | DOAJ |
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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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| format | Article |
| id | doaj-art-b73099cdd26e40a9b24b344432fd8b30 |
| institution | OA Journals |
| issn | 1995-2198 2410-2180 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Dow University of Health Sciences |
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| series | Journal of the Dow University of Health Sciences |
| spelling | doaj-art-b73099cdd26e40a9b24b344432fd8b302025-08-20T02:16:55ZengDow University of Health SciencesJournal of the Dow University of Health Sciences1995-21982410-21802025-04-01191Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional StudyMuhammad Azam0Shahzad Memon1Adnan Abdul Majeed2Bibi Rafeen Talpur3Sanja Sanja4Madiha Chang5Department of Ophthalmology, Al Ibrahim Eye Hospital, Karachi, Pakistan.Department of Ophthalmology, Sindh Institute of Ophthalmology & Visual Sciences, Hyderabad, Pakistan.Department of Ophthalmology, Sindh Institute of Ophthalmology & Visual Sciences, Hyderabad, Pakistan.Department of Ophthalmology, Sindh Institute of Ophthalmology & Visual Sciences, Hyderabad, Pakistan.Department of Ophthalmology, Al Ibrahim Eye Hospital, Karachi, Pakistan.Department of Ophthalmology, Sindh Institute of Ophthalmology & Visual Sciences, Hyderabad, Pakistan. 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. https://jduhs.jduhs.duhs.edu.pk/index.php/jduhs/article/view/2438 |
| spellingShingle | Muhammad Azam Shahzad Memon Adnan Abdul Majeed Bibi Rafeen Talpur Sanja Sanja Madiha Chang Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study Journal of the Dow University of Health Sciences |
| title | Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study |
| title_full | Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study |
| title_fullStr | Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study |
| title_full_unstemmed | Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study |
| title_short | Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study |
| title_sort | visual outcome of cataract surgery in children with traumatic cataract a cross sectional study |
| url | https://jduhs.jduhs.duhs.edu.pk/index.php/jduhs/article/view/2438 |
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