Maximizing the visual outcome in traumatic cataract cases: The value of a primary posterior capsulotomy and anterior vitrectomy.
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Date
2014-11
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Abstract
Objective: The objective was to provide evidence‑based care for patients with traumatic cataracts, we
assessed whether a posterior capsulotomy and anterior vitrectomy, as part of the primary surgical
procedure, could be a positive predictor of final visual outcome. Materials and Methods: This is a
prospective randomized control trial. Patients presenting at our hospital between January 2010 and
December 2012 having ocular trauma and traumatic cataracts were enrolled, according to the inclusion
criteria. We enrolled two groups: Those with and without primary posterior capsulotomy and vitrectomy.
Information regarding demographic and ocular trauma were collected using the World Eye Trauma
Registry form at the first visit and follow‑up, and specific information was collected for both the group
who underwent posterior capsulectomies and vitrectomies as a part of the primary procedure, and the
control group. Data were analyzed to evaluate the predictive value of primary posterior capsulectomy and
anterior vitrectomy. Results: We enrolled 120 cases, 60 in each group, comprising 31 females and 89 males.
When all other variables were controlled for, the visual outcome (best corrected visual acuity) differed
significantly (P < 0.001) between the groups. Conclusion: Performance of posterior capsulectomy and
anterior vitrectomy as part of the primary procedure improves the final visual outcome.
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Keywords
Factors affecting visual outcome in traumatic cataracts, primary posterior capsulotomy, traumatic cataract, visual outcome
Citation
Shah Mehul A, Shah Shreya M, Patel Krunal D, Shah Ashit H, Pandya Jaimini S. Maximizing the visual outcome in traumatic cataract cases: The value of a primary posterior capsulotomy and anterior vitrectomy. Indian Journal of Ophthalmology. 2014 Nov ; 62 (11): 11077-1081.