Drashti Netralaya, Dahod, Gujarat, India.
Indian J Ophthalmol. 2011 May-Jun;59(3):217-22. doi: 10.4103/0301-4738.81043.
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.
评估外伤性白内障治疗后的视力恢复情况，并确定更好的视力预后预测因素。
这是一项前瞻性研究。我们纳入了符合特定纳入标准的患者，检查了他们的眼睛以评估因外伤引起的合并症，对外伤性白内障进行了手术，并植入了晶状体。患者在术后 6 周进行了复查。我们根据 Birmingham Eye Trauma Terminology System (BETTS) 将外伤性白内障病例分为“开放性眼球”（第 1 组）和“闭合性眼球”（第 2 组），比较了两组视力的决定因素。
我们的外伤性白内障 555 眼队列包括第 1 组 394 眼和第 2 组 161 眼。术后 6 周，手术眼视力>20/60 的分别为第 1 组 193 眼（48%）和第 2 组 49 眼（29%）（P = 0.002，ANOVA）。随访时，第 1 组的>20/60 视力明显高于第 2 组（OR = 1.61；95% CI，0.85-3.02）。总体而言，242 眼（43.5%）最终视力>20/60。
开放性眼球损伤对外伤性白内障治疗后获得满意的（>20/60）视力恢复具有良好的预后。
