Descriptive Study of Traumatic Cataract cases at IAM NOOR Training Eye Center 1401
Traumatic cataract, Blunt trauma, Penetrating injuries, Pediatric ophthalmology, Vision restoration
Descriptive Study of Traumatic Cataract cases at IAM NOOR Training
Eye Center 1401
Dr. Hematullah “Sangarwal”
Eye
Specialist, Noor Hospital, Part Time Lecturer at Spinghar Institute of Higher
Education, Kabul
|
Instructor: Dr. Najeebullah “Saqeb” Trainer, Ophthalmology, Noor Training Eye Center, Co-Responding Author: Rasool Khan Hayat Head of Academic Journal, Mili Institute of higher Education, Kabul |
Introduction: Traumatic cataract is a common and
significant complication of blunt and penetrating ocular injuries, causing severe
vision impairment. It is particularly critical in children, where timely
intervention can prevent permanent amblyopia. This study investigates the
demographic patterns, causes, and outcomes of traumatic cataracts treated at
IAM Noor Training Eye Center during the year 1401.
Method: This descriptive case series included 40 patients diagnosed with
traumatic cataract and treated surgically at IAM Noor Training Eye Center in
1401. Data were extracted from medical records, encompassing demographic
details, type of trauma, vision before and after surgery, and associated
complications. Data were analyzed using Excel and SPSS.
Results: Out of 40 patients, 77.5% were male, and 37.5% were aged 0-10 years.
Blunt trauma was the leading cause (67.5%), with left-eye involvement being
more frequent (68.5%). Preoperative visual acuity was undetermined in 50% of
cases due to incomplete records or patient non-cooperation. Among assessable
patients, 20% had hand motion vision, 12.5% could count fingers, and 7.5% had
only light perception. Postoperative outcomes showed significant improvement,
with most patients achieving functional vision. Corneal scars were present in
42.5% of cases, predominantly associated with penetrating trauma. The majority
of injuries (65%) had unspecified causes due to incomplete medical history
documentation. Iris prolapse was noted in 15% of cases. Patients from rural areas
accounted for 65% of cases, indicating a lack of specialized eye care
facilities in these regions.
Conclusion: Traumatic cataracts predominantly affect males and children under 10 years, with blunt trauma as the primary cause. The findings emphasize the need for enhanced eye care resources, better documentation, and public education on preventive measures to reduce the burden of traumatic cataracts.
