September 18, 2011
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Study identifies factors that may affect visual outcomes after traumatic cataract surgery

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VIENNA, Austria — Several ocular injuries and factors were associated with best corrected visual acuity of 20/40 or less after traumatic cataract extraction, a study found.

"Certain ocular injuries associated with traumatic cataract may limit the visual outcome after cataract extraction. These ocular injuries should be addressed in [a] timely manner to prevent poor visual outcome after traumatic cataract extraction," Valery Bersudsky, MD, said in a poster study at the European Society of Cataract and Refractive Surgeons meeting here.

Dr. Bersudsky and colleagues examined 69 eyes of 69 patients at a tertiary medical center, the Department of Ophthalmology, Western Galilee Hospital in Nahariya, Israel. Patients developed cataract after ocular trauma. Of those eyes, 45 eyes had open-globe injuries and 24 had closed-globe injuries.

The study found that incidence of traumatic cataract was 3.45 per 100,000 per year, or 4.6 per 10,000 outpatient visits.

"The injuries and factors that were individually ... [associated with] best corrected visual acuity of 20/40 or less included central corneal perforation, paracentral penetration that resulted in irregular astigmatism, retinal detachment, macular scars and, in children, amblyopia. Of these, the injuries that were also found statistically associated with best corrected visual acuity of 20/40 or less were central corneal perforation (P = .002) and retinal detachment (P = .006)," they said.

  • Disclosure: Dr. Bersudsky and colleagues have no relevant financial disclosures.