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Chapter-11 Surgical Management of Traumatic Cataract in Children

BOOK TITLE: Surgical Techniques in Ophthalmology (Pediatric Ophthalmic Surgery)

Author
1. Trivedi Rupal H
2. Wilson M Edward
ISBN
9789350251485
DOI
10.5005/jp/books/11282_11
Edition
1/e
Publishing Year
2011
Pages
9
Author Affiliations
1. MUSC Storm Eye, Institute, 167, Ashley Avenue, Charleston, USA, MUSC Storm Eye Institute, 167, Ashley Avenue, Charleston, USA, Storm Eye Institute, Medical University of South Carolina, USA, Medical University of South Carolina, Charleston, SC, USA, Storm Eye Institute, Medical University of South Carolina, 167, Ashley Avenue, Charleston SC, USA, India, MUSC - Storm Eye Institute, 167 Ashley Ave, Charleston, SC 29425, USA, MUSC Storm Eye Institute, 167, Ashley Avenue, Charleston SC, USA, MUSC Strom Eye Institute, 167, Ashley Avenue, Charleston, SC-29425-5536 (USA), MUSC Strom Eye Institute, 167, Ashley Avenue, Charleston, SC-29425-5536, USA
2. N Edgar Miles Center; Storm Eye Institute Medical University of South Carolina Charleston, South Carolina, USA, Miles Center for Pediatric, Ophthalmology, Charleston, USA, N Edgar Miles Center for Pediatric Ophthalmology, Strom Eye Institute, Medical University of South Carolina, Charleston, SC, USA, Storm Eye Institute, Charleston SC, USA, Miles Center for Pediatric Ophthalmology, Charleston, USA, Storm Eye Institute, Medical University of South Carolina Charleston, USA, Storm Eye Institute, Miles Center for Pediatric Ophthalmology, Medical University of South Carolina, Charleston, SC 29425, USA, Director Albert Florens Storm Eye Institute Medical University of South Carolina Charleston, SC, USA, Albert Florens Storm Eye Institute, Medical University of South Carolina, Charleston, SC, USA 29425, Medical University of South Carolina, Charleston, SC, USA, Albert Florens Storm Eye, Institute, Medical University of South Carolina, 167, Ashley Avenue, Chairleston, USA, MUSC Storm Eye, Institute, 167, Ashley Avenu
Chapter keywords

Abstract

Children are highly vulnerable to ocular injury, especially sports-related ocular injury. Traumatic cataracts can be an immediate, early or late sequel of any ocular trauma. While no segment of society escapes the risk of eye injury, the victims primarily at risk are the young (median age 26 years). The majority of all eye injuries occur in persons under thirty years of age. The majority of traumatic cataract cases occur in children while playing or when they are involved in sport-related activities. Commonly implicated objects include knives, BBguns, firecrackers, sticks, thorns, rocks, pencils, arrows, airbags, paintballs, and toys. Blunt trauma is responsible for coup and countercoup ocular injury. Preoperative evaluation is an important step. The initial patient evaluation is one of the most important critical steps, then before dilation and after dilation examination is done. There are varying views of timing of traumatic cataract surgery. Many ophthalmologists suggest primary repair of the injury first, and cataract surgery after a 2–4 weeks of topical steroid and atropine treatment. The different surgical technique are used depending upon the trauma and postoperative medication is given. Postoperative complications include fibrinous uveitis, posterior capsular opacification (PCO), and decentration/dislocation of the implant. The prognosis of the traumatic cataract has improved since last decade.

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