Akademik Veri Yönetim Sistemi
Glokom Katarakt, cilt.18, sa.1, ss.26-34, 2023 (Hakemli Dergi)
Purpose: To evaluate the visual outcome of traumatic cataract surgery secondary to open globe injury (OGI) and to investigate the factors affecting visual prognosis. Materials and Methods: The medical records of 46 eyes which underwent traumatic cataract surgery secondary to OGI between July 2002 and April 2013 were reviewed retrospectively. Demographic features, detailed history of OGI and ophthalmological examination were obtained and the factors affecting the final visual acuity (VA) were analyzed. Results: The mean follow-up was 68±56 (range 6-213) months and the mean age was 25±17.5 (range 1-70) years. The most common type of OGI was penetrating injury seen in 33 (71.7%) eyes. Location of wound was zone I in 32 (69.6%) eyes. Forty-three (93.5%) eyes had intraocular lens (IOL) implantation with IOL in the bag in 31 (72.1%) eyes. The most common performed surgical technique was phacoemulsification in 24 (52.2%) eyes, followed by aspiration in 18 (39.1%) and intracapsular cataract extraction in 4 (8.7%) eyes. There was a significant positive correlation between the initial and final best corrected visual acuity (BCVA) (r=0.332; p=0.024). No difference was observed in the final BCVA regarding the type of injury (p=0.387), surgical techniques (p=0.77) and location of IOL (p=0.565). The eyes with wound in zone I had better final BCVA than zone III (p=0.028). Conclusion: Initial VA is a significant prognostic factor for final VA in traumatic cataract patients. Also, zone I injury is associated with better visual prognosis. The type of OGI, surgical technique and location of IOL are not prognostic factors influencing the final visual outcome.