Posters

Retrospective study of unilateral traumatic cataracts in children

Poster Details

First Author: N.Hasanova AZERBAIJAN

Co Author(s):    J. Gasanov                    

Abstract Details

Purpose:

Eye injuries in pediatric population often lead to cataract formation. Traumatic cataract surgery in a visually immature child is a major challenge and can result in poor visual outcome.

Setting:

To review our long-term surgical experience with pediatric unilateral traumatic cataracts.

Methods:

A retrospective observational study of children with unilateral traumatic cataracts with minimal follow-up of 6 years was conducted. Main outcomes included final visual acuity (VA) and occurrence of complications.

Results:

Of the 23 children included in the study,69.6% were male. Mean follow-up time was 11 years. Mean age at injury was 8.2 years. 15 patients(65%) presented with penetrating injuries and 8(35%) with blunt trauma. 17 patients(74%) had cataracts at presentation and in 3 the cataracts developed during follow-up.Of the 20 total, cataract removal surgery was conducted in 17(74%) with IOL implantation in 15(88%), while 3 remained(12%) aphakic.3(13%) were treated conservatively.Long-term complications included IOL dislocation in 5(33%),glaucoma in 6(30%) and posterior capsular opacity in 6(40%).No correlation was found between final visual acuity and the time interval between injury and IOL implantation.

Conclusions:

Children with traumatic cataracts but no initial damage to the posterior segment tend to have favorable long-term results. Severe complications occurred in 22% of the patients during a long follow-up (mean 11 years). It is very important proper discussion regarding prognosis and follow-up with parents.

Financial Disclosure:

None