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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 1, January 2014 pp 35-36

Research Article

Observational Study of Ocular Damage and Visual Loss Associated with Traumatic Cataract Patients at Tertiary Care Hospital in Aurangabad Maharashtra

Rajiv Mundada¹, Swati Shinde², Minhaj S. Pathan³, Khaled M. Badaam⁴

{¹Assistant Professor, ²Associate Professor}

Department of Ophthalmology, Maharashtra University of Health Sciences, Nashik, Maharashtra, INDIA

³Associate Professor, Department of Physiology, Ulhas Patil Medical College, Jalgaon, Maharashtra, INDIA.

Academic Editor : Dr. Bhanap P. L.

Background: Traumatic cataract, a consequence of severe ocular injury contributes to notable visual morbidity. It remains an important cause of avoidable and predominantly monocular visual morbidity particularly among the younger age group. Methods: 62 patients with traumatic cataract admitted at the ophthalmology wards at Government Medical College, Aurangabad were included in the study. Patients with posterior segment pathologies and with intraocular foreign body were excluded as they were immediately referred to specific units or higher centres and were not available to participate in our study. Detailed history and clinical examination was done. The associated ocular damage and the extent of visual loss in the traumatic cataract cases included in the study was analyzed and described. Results and Conclusion: Corneal tear was the most common associated ocular damage noted in 21 cases (33.9 %) followed by corneal opacity in 15 cases (24.2%). Presence of cortex or vitreous in anterior chamber was found in 12 cases (19.3%). Adherent leucoma, uveal tissue prolapse, secondary glaucoma, dislocation or subluxation of lens, iris damage, strabismus, hyphema and scleral tear were among the other associated ocular damage noted in traumatic cataract patients. There was severe degree of visual loss at presentation with 35 cases (56.4%) showing visual acuity restricted to hand movement or perception of light only. 9 cases (14.5%) had visual acuity reduced to Finger counting, 15 cases (24.2%) reported with visual acuity > 1/60 whereas only 3 cases (4.8%) had visual acuity > 6/60 at the time of presentation. However there were no patients with visual loss up to faulty projection of rays or no perception of light as all patients with posterior segment pathology were excluded.