Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients
The aim was to evaluate the visual recovery after managing traumatic cataracts and determine the predictors of a better visual prognosis. This was a prospective study. We enrolled patients with specific inclusion criteria, examined their eyes to review the comorbidities due to trauma, performed surg...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=3;spage=217;epage=222;aulast=Shah |
| _version_ | 1819260370324291584 |
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| author | Mehul Shah Shreya Shah Shashank Shah Vinay Prasad Avadh Parikh |
| author_facet | Mehul Shah Shreya Shah Shashank Shah Vinay Prasad Avadh Parikh |
| author_sort | Mehul Shah |
| collection | DOAJ |
| description | The aim was to evaluate the visual recovery after managing traumatic cataracts and determine the predictors of a better visual prognosis. This was a prospective study. We enrolled patients with specific inclusion criteria, examined their eyes to review the comorbidities due to trauma, performed surgery for traumatic cataracts, and implanted lenses. The patients were reexamined 6 weeks postoperatively. We divided the cases of traumatic cataract into two groups, the "open globe" (Group 1) and "closed globe" (Group 2) groups, according to the ocular trauma based on the Birmingham Eye Trauma Terminology System (BETTS) and compared the determinants of visual acuity. Our cohort of 555 eyes with traumatic cataracts included 394 eyes in Group 1 and 161 in Group 2. Six weeks postoperatively, the visual acuity in the operated eye was >20/60 in 193 (48%) and 49 (29%) eyes in Groups 1 and 2, respectively (P = 0.002, ANOVA). At follow-up, >20/60 vision was significantly higher in Group 1 than in Group 2 (OR = 1.61; 95% CI, 0.85-3.02). Overall 242 (43.5%) eyes gained a final visual acuity of >20/60. Open globe injury has a favorable prognosis for satisfactory (>20/60) visual recovery after the management of traumatic cataracts. |
| first_indexed | 2024-12-23T19:24:50Z |
| format | Article |
| id | doaj.art-48f8699c2144475ebf895b57699498c3 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-23T19:24:50Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-48f8699c2144475ebf895b57699498c32022-12-21T17:34:04ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892011-01-0159321722210.4103/0301-4738.81043Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patientsMehul ShahShreya ShahShashank ShahVinay PrasadAvadh ParikhThe aim was to evaluate the visual recovery after managing traumatic cataracts and determine the predictors of a better visual prognosis. This was a prospective study. We enrolled patients with specific inclusion criteria, examined their eyes to review the comorbidities due to trauma, performed surgery for traumatic cataracts, and implanted lenses. The patients were reexamined 6 weeks postoperatively. We divided the cases of traumatic cataract into two groups, the "open globe" (Group 1) and "closed globe" (Group 2) groups, according to the ocular trauma based on the Birmingham Eye Trauma Terminology System (BETTS) and compared the determinants of visual acuity. Our cohort of 555 eyes with traumatic cataracts included 394 eyes in Group 1 and 161 in Group 2. Six weeks postoperatively, the visual acuity in the operated eye was >20/60 in 193 (48%) and 49 (29%) eyes in Groups 1 and 2, respectively (P = 0.002, ANOVA). At follow-up, >20/60 vision was significantly higher in Group 1 than in Group 2 (OR = 1.61; 95% CI, 0.85-3.02). Overall 242 (43.5%) eyes gained a final visual acuity of >20/60. Open globe injury has a favorable prognosis for satisfactory (>20/60) visual recovery after the management of traumatic cataracts.http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=3;spage=217;epage=222;aulast=ShahAhmed glaucoma valvehypotonypost-penetrating-keratoplasty glaucomatube extrusionscleral patchRanibizumabbevacizumabchoroidal neovascular membraneage-related macular degenerationintravitreal injectioncentral macular thicknessbest corrected visual acuityIntravitreal injectionmethotrexatepharmacokineticsContrast sensitivitydiabetesglarepupil cycle timeAnemiadiabetic retinopathymicroalbuminuriaseverityObjective Structured Clinical ExaminationophthalmologyundergraduateAnisometropiaanisometropic amblyopiafusionstereopsisTraumatic cataractBirmingham Eye Trauma Terminology SystemIndiacataract surgery |
| spellingShingle | Mehul Shah Shreya Shah Shashank Shah Vinay Prasad Avadh Parikh Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients Indian Journal of Ophthalmology Ahmed glaucoma valve hypotony post-penetrating-keratoplasty glaucoma tube extrusion scleral patch Ranibizumab bevacizumab choroidal neovascular membrane age-related macular degeneration intravitreal injection central macular thickness best corrected visual acuity Intravitreal injection methotrexate pharmacokinetics Contrast sensitivity diabetes glare pupil cycle time Anemia diabetic retinopathy microalbuminuria severity Objective Structured Clinical Examination ophthalmology undergraduate Anisometropia anisometropic amblyopia fusion stereopsis Traumatic cataract Birmingham Eye Trauma Terminology System India cataract surgery |
| title | Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients |
| title_full | Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients |
| title_fullStr | Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients |
| title_full_unstemmed | Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients |
| title_short | Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients |
| title_sort | visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients |
| topic | Ahmed glaucoma valve hypotony post-penetrating-keratoplasty glaucoma tube extrusion scleral patch Ranibizumab bevacizumab choroidal neovascular membrane age-related macular degeneration intravitreal injection central macular thickness best corrected visual acuity Intravitreal injection methotrexate pharmacokinetics Contrast sensitivity diabetes glare pupil cycle time Anemia diabetic retinopathy microalbuminuria severity Objective Structured Clinical Examination ophthalmology undergraduate Anisometropia anisometropic amblyopia fusion stereopsis Traumatic cataract Birmingham Eye Trauma Terminology System India cataract surgery |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=3;spage=217;epage=222;aulast=Shah |
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