Outcome of pediatric traumatic cataract in upper Egypt

Salma M Kedwany, Mohamed GA Saleh, Dalia Tohamy, Magdi M Mostafa

Department of Ophthalmology, Faculty of Medicine, Assiut University, Assiut, Egypt

Correspondence: Magdi M Mostafa
Department of Ophthalmology, Assiut University, Assiut, 71515, Egypt
Tel. +201093122344
E-mail [email protected]

Target: To demonstrate the demographics, causative agents and outcome of pediatric traumatic cataract surgery in eyes without posterior segment involvement at Assiut University Hospital, Upper Egypt.
Patients and methods: This is a retrospective study in children (<18 years) who underwent traumatic cataract surgery from January to June 2019. Children with posterior segment injury and those who did not complete the 6-month post-operative follow-up were excluded. The demographic features, mechanism and timing of eye injury, clinical features, surgical approach and outcome were recorded and analyzed.
Results: The study included 34 eyes from 34 children, of which 23 (68%) were boys. The mean age at the time of cataract surgery was 10 ± 3.97 years. Twenty-one eyes had an open ball injury (62%) with wooden sticks as the most common cause of trauma, while 13 eyes had a closed ball injury (38%) with stones thrown as the most common cause of injury. The time interval between eye injury and cataract surgery ranged from 1 day to 9 years with a median of 2.05 months. Intraocular lenses were implanted in the posterior chamber in all eyes; In 33 eyes, the posterior chamber intraocular lenses were primarily implanted during the cataract extraction. The corrected distant visual acuity improved significantly from 2.63 ± 0.66 LogMAR preoperatively to 0.41 ± 0.38 LogMAR postoperatively (p <0.001).
Conclusion: Pediatric traumatic cataracts are often present by elementary school age, especially after open bulb injury. Primary prevention through health awareness should target this age group. Useful vision can be regained with timely correct surgical intervention and intraocular lens implantation in the posterior chamber.
Clinicaltrials.gov Id: NCT04630509.

Keywords: pediatric cataract, pediatric ocular trauma, lens, posterior chamber intraocular lens implantation

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