Posters
Visual and refractive outcome after traumatic cataract surgery: a Guatemala five year review in a national reference center
Poster Details
First Author: A.Tovar Gomez GUATEMALA
Co Author(s): W. Reyes Maldonado
Abstract Details
Purpose:
To describe refractive and visual outcomes of traumatic cataract patients requiring surgery and evaluate the factors influencing success rate.
Setting:
National Ophthalmology Unit, Guatemala City, Guatemala, Central America
Methods:
Retrospective Chart Review of patients having cataract surgery for traumatic cataract between January 1, 2013, and December 31, 2018. Charts were reviewed for demographic information, visual and refractive outcomes in Diopters (D), complications, and surgical details. Best-corrected visual acuity (BCVA) of patients who underwent cataract surgery and those with Intraocular lens (IOL) implantation were assessed at presentation and at the end of the follow-up. Success after cataract surgery was defined as BCVA 20/40 or better in Snellen notation.
Results:
One hundred twenty-two patients were included (mean age 29.42 +/- 19.47 [SD], 83.61% males). The mean follow-up was 8 months (range 4 to 12 months). Open-globe injuries occurred in 87 patients and 35 had closed-globe injuries. The final best corrected visual acuity (BCVA) was 20/40 or better in 39 patients (31.97%). In the 104 patients who underwent IOL implantation, 47% percent achieved a mean absolute prediction error of 1.5 D or less. Closed-globe injuries and prompt time of secondary IOL implantation were associated with better visual and refractive outcomes. Open-globe injury was associated with worse refractive outcomes.
Conclusions:
In a Guatemalan National Reference Center, patients undergoing cataract surgery for traumatic cataract can have acceptable visual and refractive outcomes. Those with closed-globe and prompt IOL implantation had good early postoperative refractive and visual outcomes; worse refractive outcome was seen in open-globe injuries
Financial Disclosure:
None
