Muhammad Alam, Lal Muhammad.
Visual Acuity Outcome in Traumatic Cataract Extraction with Intraocular Lens Implantation: (A study of 46 Cases).
Ophthalmol Update Nov ;16(2):606-9.

Objective: To evaluate the Visual Acuity (V.A) outcome in traumatic cataract extraction with Intraocular lens ( I.O.L) implantation. Materials and Methods: This observational study was conducted in department of Ophthalmology K.D.A Teaching Hospital Kohat from January, 2015 to December, 2016 on patients who had been admitted for traumatic cataract extraction with I.O.L implantation. 46 patients with age range from 5 years and above who had traumatic cataract were included in the study . Out of 46 patients 32(69.56%) were male and 14(30.43%) were female. Preoperative V.A of 6/24-6/60 was present in 2 (4.34%) patients, counting finger in 11(23.91%), hand movement in 26(56.52%) and V.A of perception of light (PL+) was present in 7(15.21%) patients. Biometry was done. All the record was documented on proper proforma. Cataract extraction with primary IOL implantation was done in 28 patients while as secondary procedure in 18 patients. 27 patients were operated on general anesthesia and 19 patients on local anesthesia. Result: Extracapsular cataract extraction with Posterior Chamber I.O.L(ECCE with PC I.O.L) implantation was done in 26(56.52%) patients ECCE with Anterior Chamber I.O.L ( AC I.O.L) was done in 9(19.56%) patients. Suture-less Manual Small incision cataract surgery (SMSICS) with PC I.O.L was done in 7(15.21%) patients and SMSICS with AC I.O.L was done in 4(8.69%) patients. stitches were removed after two months and best corrected visual acuity (BCVA)was recorded. After two months, 6(13.04%) patients had BCVA of 6/6- 6/12, 29(63.04%) patients had BCVA of 6/18 - 6/24, 5(10.86%) patients had BCVA of 6/36 - 6/60 while 6(13.04%) patients had BCVA of less than 6/60. Conclusion: Traumatic cataract patients have good visual acuity outcome if treated properly and well in time. V.A is mostly affected with other co-ocular morbidities in addition to cataract by itself.

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