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  • Title: [Traumatic cataract--treatment results].
    Author: Woś M, Mirkiewicz-Sieradzka B.
    Journal: Klin Oczna; 2004; 106(1-2):31-4. PubMed ID: 15218761.
    Abstract:
    PURPOSE: The aim of the study was to analyse late results of treating patients with cataract, due to blunt and perforating trauma. Analysis included factors related to type of treatment, time from the trauma to surgery, frequency and type of complications. MATERIAL AND METHODS: The study population consisted of 60 patients, 56 men aged from 13 to 76 years (mean age 39.9) and 4 women aged from 4 to 79 years (mean age 46.5). Cataract due to non perforating trauma was found in 21 patients (35.0%), whereas 39 (65.0%) suffered from perforating trauma. Conservative treatment was used in 17 patients, whereas 41 were operated on, including 20 with PCIOL, 12 with ACIOL and 9 with NONIOL. In 2 persons the eyeball was removed after the injury. Control examinations were performed in 45 patients. Follow-up ranged from one year to 5.5 years. RESULTS: Visual acuity did not differ significantly between patients with cataract after the non perforating and perforating trauma. Only, among the patients with visual acuity between 1.0-0.5 the subjects with the non perforating trauma differed significantly from those, after the perforating trauma. 92.9% of them had effective visual acuity (up to 0.1). In patients with cataract after non perforating trauma, the mode of treatment did not significantly affect the eye function. In patients, after perforating trauma visual acuity was significantly better in those with the intra-ocular implant, especially with PCIOL. Timing of the procedure did not have a significant effect on the outcomes. Late complications occurred in 64.3% of patients with non perforating trauma and were significantly more frequent, but the type of complications did not differ significantly, from those observed in patients after perforating trauma. CONCLUSIONS: 1. In case of cataract, especially after perforating trauma it is recommended to insert an intra-ocular implant. 2. Patients with traumatic cataract should receive individualized treatment, and the operation should be performed at the optimal moment, as timing of the operation does not significantly affect the late outcomes. 3. Patients with cataract after non perforating trauma require careful and long-term controls, because of significantly more frequent complications.
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