Predictors of Visual Acuity in Traumatic Cataract
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 5
Abstract
Aim: Traumatic cataract has many challenges. Strategic management to achieve the expected visual outcome is necessary. This study evaluates visual outcome and probable predictors of visual prognosis in traumatic cataract. Materials and Methods: A retrospective study of 43 traumatic cataracts underwent meticulous evaluation for etiology, type of trauma, associated ocular comorbidities, surgical intervention, and final visual outcome. Cases were grouped as per Birmingham Eye Trauma Terminology System (BETTS) classification and managed accordingly with follow-up of 6 months. Secondary procedures were carried out when required. Probable predictors for visual prognosis were assessed and compared with final visual outcome. Result: In traumatic cataract cases, open globe injury was observed more than closed globe. In mode of injury, iron rod and wooden chip were most common. Corneal tear was most common associated comorbidity and played an essential role in final visual outcome. BETTS classification was helpful to assess predictors for visual prognosis preoperatively. Conclusion: Categorizing cases as per associated comorbidity and managing them according to BETTs played a key role in knowing probable predictors pre-operatively, which helped in assessing visual gain and explain realistic expectation to the patient.
Authors and Affiliations
Shilpi Aggarwal, Sapan Phalod
Keywords
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