Retrospective multifactorial analyses of final visual outcome in traumatic cataract: Study from Tertiary Eye Care Hospital.

Sahil Bhandari; Manas Nath; Kirandeep Kaur; Bharat Gurnani

Volume : VII, Issue : VIII, August - 2017

Retrospective multifactorial analyses of final visual outcome in traumatic cataract: Study from Tertiary Eye Care Hospital.

Sahil Bhandari, Manas Nath, Kirandeep Kaur, Bharat Gurnani

Abstract :

Traumatic cataract is a common sequel in ocular trauma and it would be imperative to understand the influence of various per–operative factors over final visual outcome. Aim of the study was to evaluate the influence of such factors on final visual outcome. Patient’s diagnosed with traumatic cataract from January’12 to December’14 with a minimum of 3months follow up were included. Patients with <3months follow up, unclear lens status on presentation, cataract secondary to steroids or inflammation, operated elsewhere and incomplete diagnosis were excluded. Primary outcome was to analyze the factors responsible for better visual outcome(≤0.3 ogMAR). Fifty–three eyes had closed globe injury and 44 eyes had open globe injury with no difference in age or gender distribution(p=0.8). Significantly (p = 0.005) higher number of surgeries were performed in open globe injury patients but final visual recovery was similar to closed injury group. After adjusting for all the variable, it was observed that patients having better immediate and one–month visual recovery had significantly(p<0.05) higher chances of achieving final vision of ≤0.3LogMAR. Timing (primary vs secondary) of Intraocular lens placement did not affect visual outcome.