Cataract Surgery in Eyes with Trauma

Abstract

Ocular trauma is frequently associated with cataractous changes in the lens in up to 60 % of patients, and crystalline lens damage is present in 30 % of perforating injuries of the anterior segment of the eye [1]. Traumatic cataract can occur due to penetrating ocular trauma, or may also result from blunt injury. Their extent and nature of the injuries are difficult to assess accurately. Frequently accompanying lesions are, corneal laceration, scleral laceration, accompanying iris incarceration, iris dialysis, tear or laceration of iris, hyphema, vitreous herniation, lens subluxation or dislocation into anterior chamber or posteriorly into vitreous cavity. The level of involvement of the anterior and posterior segment, visibility of internal structure, availability of materials or instruments being used for expected anterior or posterior segment procedure, materials for surgical repair, and possible scenarios expected with given information should be dully considered. Before surgery, patient counseling is important, they should be warned about the worst scenarios expected after the surgery. And also, should be informed about possibility of multiple surgeries.