Shah Mehul A, Shah Shreya M, Appleware Adway H, Patel Krunal D, Rehman Rukhsana M, Shikhange Khushboo A
Drashti Netralaya, Dahod, Gujarat - India.
Eur J Ophthalmol. 2012 Nov-Dec;22(6):956-63. doi: 10.5301/ejo.5000111. Epub 2012 Feb 17.
To review results of traumatic cataracts in children.
This is a retrospective cohort study done at a tertiary eye care center at the junction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. We enrolled children with specific inclusion criteria, examined their eyes to review the comorbidities due to trauma, performed surgery for traumatic cataracts, and implanted a lens, treating amblyopia if applicable. The patients were re-examined 6 weeks postoperatively. We divided the traumatic cataract cases into open-globe (group 1) and closed-globe (group 2) groups according to the ocular trauma based on the Birmingham Eye Trauma Terminology System and compared the determinants of visual acuity.
Our cohort of 354 eyes with traumatic cataracts in children included 287 eyes in group 1 and 67 in group 2. Six weeks postoperatively, the visual acuity in the operated eye was >20/200 in 181 (63%) and =20/40 in 109 (38%) eyes in the open-globe group and >20/200 in 36 (53%) and =20/40 in 16 (22.4%) eyes in the closed-globe group (p = 0.143), and the difference between the groups was not significant in children. Overall, 125 (35.3%) eyes gained a visual acuity at 6 weeks of =20/40 and >20/200 in 214 (61.3%) cases.
Satisfactory visual outcome can be achieved in children with traumatic cataracts, with no significant difference found among open- and closed-globe injuries in the pediatric age group.
回顾儿童外伤性白内障的治疗结果。
这是一项在印度中西部古吉拉特邦、中央邦和拉贾斯坦邦交界处的三级眼科护理中心进行的回顾性队列研究。我们纳入了符合特定纳入标准的儿童，检查他们的眼睛以评估创伤引起的合并症，对外伤性白内障进行手术并植入晶状体，如有必要治疗弱视。术后6周对患者进行复查。我们根据伯明翰眼外伤术语系统将外伤性白内障病例按眼外伤情况分为开放性眼球损伤组（第1组）和闭合性眼球损伤组（第2组），并比较视力的决定因素。
我们的354例儿童外伤性白内障队列中，第1组有287只眼，第2组有67只眼。术后6周，开放性眼球损伤组中181只眼（63%）术眼视力>20/200，109只眼（38%）视力=20/40；闭合性眼球损伤组中36只眼（53%）视力>20/200，16只眼（22.4%）视力=20/40（p = 0.143），两组儿童之间差异无统计学意义。总体而言，125只眼（35.3%）在6周时视力达到=20/40，214例（61.3%）视力>20/200。
儿童外伤性白内障可获得满意的视力结果，在儿童年龄组中开放性和闭合性眼球损伤之间未发现显著差异。
