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Indian Journal of Trauma and Emergency Pediatrics

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Pediatric Traumatic Cataract: Epidemiology, Surgical Intervention, Posterior Capsule Opacification (PCO) Rates and Outcomes

Priyanka Arora , Priyanka Arora , Suma Ganesh , Kamaldeep Arora

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Indian Journal of Trauma and Emergency Pediatrics 4(2):p 49-53, April - June 2012. | DOI:

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Abstract

Aim: To analyze the etiology, treatment, Posterior Capsule Opacification (PCO) rates and visual outcome in children with traumatic cataract Methods: Retrospective, non-comparative review of 41 children (d”16 years) with traumatic cataract managed at a single institution during a 2-year period with regard to demographic data, mode of injury, management, development of PCO and visual outcome. Results: Wooden stick (8/41, 20%) was observed to be most common mode of injury, followed by stone (4, 10%) and cracker injury (4, 10%). Mean preoperative visual acuity was 2.4±0.7 logMAR units, which improved to 0.3±0.4 logMAR units post operatively. PCO developed in 14 children (50%), of whom 3 had acrylic and 11 had Polymethylmethacrylate (PMMA) lenses. PCO developed in 9 out of 11 (82%) children with intact posterior capsule and in 5 out of 17 (29%) children with primary posterior capsulorrhexis. Conclusion: In view of the higher rates of PCO occurrence in children with intact posterior capsule, primary posterior capsulotomy irrespective of the age is recommended in pediatric traumatic cataract.

Keywords: Traumatic cataract; Epidemiology; Surgical intervention, Posterior capsule opacification.      

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