POST OPERATIVE COMPLICATIONS IN THE MANAGEMENT OF TRAUMATIC CATARACT IN A TERTIARY CARE HOSPITAL OF ODISHA

Abstract

Background: Traumatic cataract remains an important cause of visual impairment and physical
as well as vocational disability in spite of recent diagnostic and therapeutic advances.
Objective: To study the post operative complications while treating the traumatic cataract cases.
Methods: This was a prospective study conducted from October 2010 to September 2012. Total
92 cases were included in the study. Results: In 79.3% cases, SICS with PCIOL implantation, in
6.5% ECCE with PCIOL implantation and in 5.4% of cases secondary PCIOL was given as
treatment. Common intra-operative problem encountered were un-dilated and distorted pupil
(16.3%), positive vitreous pressure (13 %) and posterior capsular tear (10.8%). Striate
keratopathy was seen in 17.4% cases, iris pigment deposit in 15-2% and anterior uveitis in 25%
cases within 1 week postoperative period. At 6 weeks follow up, Pupillary capture, posterior
capsular opacification, and cystoids macular oedema were 7.6%, 6.5% and 7.6% respectively. At
the end of three months, posterior capsular opacification was 16.3% and astigmatism was 41.3%.
Conclusion: While managing the cases of traumatic cataract, complications starting from intraoperative problems to different types of late post-operative complications at different intervals of
time may be seen, which have to be managed timely for better out come