Ravindra Kumar Chowdhury, Jayashree Dora, Promod Kumar Sharma, Jagadish Prasad Rout
Retrospective study of surgical outcome of sixty two children with traumatic cataract, in the age group of four to fifteen years over a period of two years was done. The study group comprised 41 boys and 21 girls. Stick injury (30.7%) was the commonest mode followed by injury with needle (9.7%). Posterior segment involvement was found in 14.4%. Lens aspiration, primary posterior capsulorrhexis (PPC), anterior vitrectomy and IOL implantation was performed whenever possible. The mean follow up period was 21.4 weeks. Thirty one eyes (50%) achieved the best corrected visual acuity of 20/60 or better. The most frequent complication was posterior capsular opacification (30.6%) followed by fibrinous uveitis (14.4%) and optic capture (9.6%).The rate of PCO was lower (9.6%) where PPC was done. Primary Posterior capsulorrhexis can be helpful in childhood traumatic cataract in preventing disability burden.
