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  • Title: [Results of 52 operations for traumatic cataracts].
    Author: Rozsíval P, Hakenová J.
    Journal: Cesk Oftalmol; 1992 Oct; 48(5):325-30. PubMed ID: 1486624.
    Abstract:
    The authors are presenting the results of the traumatic cataract surgery in 52 patients (45 male, 7 female). The cataract was caused in 7 cases by blunt trauma, in 43 cases by penetrating trauma (in 16 cases with intraocular foreign body). The mean age of patients was 29 years, ranging from 4 to 73 years. In 2 cases was indicated the intracapsular extraction for the subluxation of the lens, in 2 eyes the discision was done and in 2 eyes the primary evacuation. In all other cases the extracapsular extraction was performed (19 with IOL implantation). Before the operation the visual acuity was 0.1 and worse in 90.4%, 0.16-0.33 in 7.7% and 0.5 and better in 1.9% of the patients. The visual acuity at the time of the last follow-up visit (3 months to 3.5 years after the operation-average 15.6 months) was 0.1 and worse in 16.7% of cases, 0.16-0.33 in 19% and 0.5 and better in 64.3%. The visual acuity 0.5 and better was in 85.7% of patients with IOL implantation. The most serious complication was the hypotony of the eye (in 3 cases) followed by the atrophy of the eye (1 eye was enucleated). Although we could expect more complications of the surgery of traumatic cataract it is possible to gain good visual acuity results. The IOL implantation is indicated in cases where it is not excluded by the condition of the eye.
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