Management of traumatic cataract in adults at a reference center in Mexico City
Por:
Serna-Ojeda J.C., Cordova-Cervantes J., Lopez-Salas M., Abdala-Figuerola A.C., Jimenez-Corona A., Matiz-Moreno H., Chavez-Mondragon E.
Publicada:
1 ene 2015
Categoría:
Ophthalmology
Resumen:
The purpose of the study was to determine the clinical presentation, mode of injury, surgical, and postoperative outcomes in adult patients with traumatic cataract. This is a clinical, observational, and retrospective study with review of records of patients in the period 2010–2012. Eighty patients were included, of whom 67 (83.75 %) were male. The mean age at presentation was 46 years (range 18–82 years). Sixty-four patients (80 %) had a closed-globe blunt ocular trauma and 16 (20 %) had an open-globe penetrating trauma. Seventy-seven (96.25 %) patients underwent phacoemulsification; 13.7 % (n = 11) required placement of capsular tension rings and 22.5 % (n = 18) automated anterior vitrectomy. In 53 % of the cases the intraocular lens (IOL) was placed in the capsular bag. Forty-seven patients (58.75 %) achieved a best-corrected visual acuity of 20/40 or better. In 57 (71.25 %) the final refraction was obtained, with a mean spherical equivalent of -0.56D (range -3.50D to +2.00 D). The improvement in visual acuity was significantly higher when the IOL was placed in the capsular bag compared to when it was placed in the sulcus (average difference of 0.667, p = 0.001). The most common mechanism of trauma is closed globe. Phacoemulsification was the procedure most common performed, with the IOL placed most commonly in the capsular bag. The final best-corrected visual acuity in most patients was 20/40 or better. Placing the IOL in the capsular bag represented an improvement in visual acuity compared to placement in the sulcus. © Springer Science+Business Media Dordrecht 2014.
Filiaciones:
Serna-Ojeda J.C.:
Anterior Segment Department, Instituto de Oftalmologia “Conde de Valenciana”, Chimalpopoca 14, Mexico, DF 06800, Mexico
Cordova-Cervantes J.:
Anterior Segment Department, Instituto de Oftalmologia “Conde de Valenciana”, Chimalpopoca 14, Mexico, DF 06800, Mexico
Lopez-Salas M.:
Anterior Segment Department, Instituto de Oftalmologia “Conde de Valenciana”, Chimalpopoca 14, Mexico, DF 06800, Mexico
Abdala-Figuerola A.C.:
Anterior Segment Department, Instituto de Oftalmologia “Conde de Valenciana”, Chimalpopoca 14, Mexico, DF 06800, Mexico
Jimenez-Corona A.:
Ocular Epidemiology Department, Instituto de Oftalmologia “Conde de Valenciana”, Chimalpopoca 14, Mexico, DF 06800, Mexico
Matiz-Moreno H.:
Anterior Segment Department, Instituto de Oftalmologia “Conde de Valenciana”, Chimalpopoca 14, Mexico, DF 06800, Mexico
Chavez-Mondragon E.:
Anterior Segment Department, Instituto de Oftalmologia “Conde de Valenciana”, Chimalpopoca 14, Mexico, DF 06800, Mexico
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