Safety of Primary Intraocular Lens Insertion in Unilateral Childhood Traumatic Cataract

Authors

  • Sandeep Kumar Department of Ophthalmology, Subharti Institute of Medical Sciences, Meerut, UP
  • A Panda Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi
  • BP Bandu Department of Ophthalmology, B P Koirala Institute of Health Sciences, Dharan
  • H Das Siliguri Lions Netralaya, Hill Cart Road, Siliguri

DOI:

https://doi.org/10.31729/jnma.153

Abstract

This study analyzes the results of cataract surgery with primary intraocular lens implantation in
unilateral childhood traumatic cataract following penetrating trauma and its long term follow up.
It is a hospital based study of 114 children (age 3-10 years) with unilateral traumatic cataract who
underwent extracapsular cataract extraction/ lens aspiration with implantation of posterior chamber
intraocular lens (IOL). Primary posterior capsulotomy (PPC) was performed in 57 eyes and the rest
57 were without PPC (NPPC). The patients were followed up at regular intervals for a period of 3
years.
Postoperative inflammation and pupillary capture were two frequent complications seen during
postoperative period. Development of posterior capsular opacification (PCO) was 1/57, 4/57 at 8th
week and 7/30 and 14/39 at 6 months, in PPC and NPPC group, respectively. Best corrected visual
acuity (BCVA) ≥ 6/18 was achieved in 50% of eyes at 8th week post operatively and the same at 3
years with/without membranectomy/capsulotomy was evident in 73.3% of eyes.
Meticulous case selection with insersion of “in the bag IOL†and subjecting the traumatized
cataractous eyes to primary posterior capsulotomy are factors responsible for optimal outcome in
unilateral traumatic cataract in children.

Key words: childhood, intraocular lens, Nepal, traumatic cataract

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Published

2008-10-01

How to Cite

Kumar, S., Panda, A., Bandu, B., & Das, H. (2008). Safety of Primary Intraocular Lens Insertion in Unilateral Childhood Traumatic Cataract. Journal of Nepal Medical Association, 47(172). https://doi.org/10.31729/jnma.153

Issue

Vol. 47 No. 172 (2008)

Section

Original Article

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