Penetran oküler travmalı olgularda katarakt ekstraksiyonu ve intraoküler lens implantasyonu

Primary cataract extraction and intraocular lens implantation in penetrating ocular trauma

Özet

Amaç: Penetran travmalı olgularda, katarakt ekstraksiyonu ve İntraoküler lens implantasyonu sonuçlarının değerlendirilmesi. Materyal-Metod: 1990-2003 tarihleri arasında kliniğimize penetran travma sonrası glob perforasyonu ve travmatik katarakt nedeni ile başvuran, aynı seansda veya iki seans halinde reperasyon ve katarakt ekstraksiyonu uygulanan 112 hasta retrospektif olarak değerlendirildi. Primer reperasyon ve katarakt ekstraksiyonu + göz içi lens implantasyonu yapılan hastalar 1.grubu, repefasyon ve yara iyileşmesi sonrasında katarakt ekstraksiyonu + göz içi lens implantasyo-nu yapılan hastalar 2.grubu oluşturdu. İki grup postoperatif komplikasyonlar ve görme keskinliği açısından karşılaştırıldı. P

Abstract

Purpose: To analyse the postoperative outcomes after cataract extraction with intraocular lens for penetrating traumatic cataract. Material-Method: 112 patients who were admitted to our clinic because of glob perforation with traumatic cataract caused by penetrating trauma were performed cataract extraction and reperation at the same procedure or a seperate procedure between 1990-2003 years. The results were examined retrospectively. The first froup was consisted of patients that primary reperation and cataract extraction were performed in the same time.İn the second group cataract extraction was performed after primary reperation when the eye was recovered from injury. The postoperative complications and visual acuity between two groups were compared. P< 0.05 was accepted as statistically significant. Results: Mean age was 23,0 ± 7,0 (18 months-70 years) with a mean follw-up 19,0 ± 21,0 (2-108 months). Of 112 patients, 83 (%74) had corneal, 22 had (%19,6) corneascleral, 7 had (%6,4) scleral lacerations. Intraocular lens was implanted at 88 (%78.5) patients after cataract extraction. 12 (%20) patients were aphacic. 54 (%50,9) eyes were achieved 0.4 or better final visual acuity. Major causes of limited visual acuity were corneal scars, retinal scars and irregular astigmatism.The most common postoperative complication was posterior capsule opacification with a rate of %33 (37 eyes). Conclusion: The travmatic cataract can be removed at the initial repeair of the wound (primary procedure) or later, when the eye has recovered from injury (secondary procedure) according to lens damage and the severity of inflammation. The prognosis of traumatic cataracts with penetrating ocular trauma was more releated to the location, the severity of wound and the complications than the timing of cataract extraction.