Abstract

Aim: The aim of the present study is to evaluate the associated ocular injuries and final outcome of patients with traumatic cataract along with their demographic features and modes of trauma. Methods: The study was conducted in Department of Ophthalmology for the period of one year. A total of 40 patients were included in the study and these patients were divided equally into two groups as blunt and penetrating Injuries. The study was conducted in all the patients of ocular injury from blunt and penetrating trauma. Inclusion Criteria: All the patients who were admitted in the hospitals and diagnosed as a case of monocular traumatic cataract. Results: 50% patients sustained penetrating trauma while 50% were inflicted with blunt injury. Out of 40 patients, 21 were males and 19 were females. Out of 20 blunt trauma cases, 10% had perception of light, 60% of the patients had visual acuity <6/60 while only 10% had acuity >6/18. Out of 20 penetrating trauma cases, 50% of the patients had visual acuity <6/60 while nobody had acuity >6/18. The visual acuity of 4 (20%) patients could not be assessed. Corneal opacity was seen more among penetrating trauma patients than blunt trauma patients and the difference is statistically significant. Corneal perforation and uveal prolapsed was seen only among penetrating trauma cases. A 35% of the blunt trauma cases had increased IOP. Vitreous haemorrhage and retinal detachment was more common for penetrating injury. Conclusion: Most of the ocular trauma occurs in younger males of productive age groups. Penetrating injuries being more frequent than the blunt injury. Therapeutic and prognostic factors of visual acuity in cases of traumatic cataract are related to nature of anterior and posterior segment involvement, any pre-existing ocular conditions, timely and proper medical and surgical management of these cases, close follow up and management of post-surgical complications are to be considered with high priority for better visual outcome.

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