European Journal of Scientific Research (ISSN: 1450 ... - EuroJournals

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36 © European Journal of Scientific Research, Vol 7, No 5, 2005 because of traumatic involvement of retina and posterior capsule opacity. However, a review of 15 patients who had traumatic cataract extraction in Germany 11 revealed that 53% of the subjects had post-operative vision of 6/12 or better. Reason for poor outcome included accompanying macular pathology, central cornea opacities, posterior capsule opacity and retinal detachment. Use of additional intervention procedures such as YAG laser capsulotomy, pas plana vitrectomy/ retina detachment surgery and penetrating kerato plasty was responsible for improvement in final visual outcome of 6/24 in 80% of their subjects. Cornea opacities and posterior capsule opacities were responsible for 8 out of the 20 subjects with visual acuity 6/18 and although sight limiting complications were common, they were mostly related to the severity of the trauma, post op inflammation and many are potentially treatable with further intervention. Although it is not clear why a large percentage of the patients developed retinal detachment post op, inflammation may have played a significant role, we therefore advocate surgery with intra ocular lens implant for cataracts resulting from trauma. A follow up randomised study on effect of a more generous use of steroids in traumatic cataracts is proposed. There is also need for good case selection through adequate preoperative diagnosis of associated posterior segment
© European Journal of Scientific Research, Vol 7, No 5, 2005 complications that may prevent optimal post-operative visual acuity in all cases of traumatic cataract. Acknowledgement: The authors thank the authorities of the University College Hospital for allowing access to the case files used for the study and also the staff of the medical records department for their cooperation. 37
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European Journal of Scientific Research (ISSN: 1450 ... - EuroJournals

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