@article{ref1,
title="Epidemiology and intermediate-term outcomes of open- and closed-globe injuries in traumatic childhood cataract",
journal="European journal of ophthalmology",
year="2014",
author="Khokhar, Sudarshan and Gupta, Shikha and Yogi, Rohit and Gogia, Varun and Agarwal, Tushar",
volume="24",
number="1",
pages="124-130",
abstract="<bold>PURPOSE:</bold> To study epidemiology and intermediate-term outcomes of open- and closed-globe injuries (CGI) in traumatic childhood cataract.<bold>METHODS:</bold> In this retrospective interventional case series, demographic parameters and history including type of injury of 57 children younger than 16 years with traumatic cataract were recorded; ocular examination included best-corrected visual acuity (BCVA), slit-lamp biomicroscopy, and posterior segment evaluation. Patients underwent cataract surgery with or without intraocular lens (IOL) implantation. Main surgical outcomes at 6 months comprised BCVA, residual refractive spherical error (SE), and postoperative complications, namely visual axis opacification (VAO) and amblyopia.<bold>RESULTS:</bold> Bow and arrow was the most common causal agent. Open-globe injury (OGI) was 3 times more frequent than CGI. There was a significant visual gain from baseline in both groups after cataract surgery (p<0.001); residual SE was greater in OGI (1.6 ± 0.95 SD) compared to blunt trauma (0.8 ± 0.55 SD; p = 0.001). Incidence of corneal scarring, iris distortion, posterior synechiae, and intraoperative posterior capsular tear was greater with OGI (p<0.05). A total of 86% of patients were rehabilitated with a primary/secondary IOL. Single-piece IOL implantation rate (p = 0.004) was significantly greater in CGI, with no statistical difference for in-the-bag IOL (p = 0.053) and IOL implantation rate (p = 0.16). Final BCVA was significantly better for in-the-bag IOL implantation compared to sulcus fixation. Postoperative complications included amblyopia (51%) and VAO (12%).<bold>CONCLUSIONS:</bold> Bow and arrow injury caused the maximum cases of traumatic cataract; cataract extraction resulted in significant visual improvement; and CGI tended to have better prognosis in pediatric traumatic cataracts.<p /> <p>Language: en</p>",
language="en",
issn="1120-6721",
doi="10.5301/ejo.5000342",
url="http://dx.doi.org/10.5301/ejo.5000342"
}