Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study

Authors

  • Muhammad Azam Department of Ophthalmology, Al Ibrahim Eye Hospital, Karachi, Pakistan.
  • Shahzad Memon Department of Ophthalmology, Sindh Institute of Ophthalmology & Visual Sciences, Hyderabad, Pakistan.
  • Adnan Abdul Majeed Department of Ophthalmology, Sindh Institute of Ophthalmology & Visual Sciences, Hyderabad, Pakistan.
  • Bibi Rafeen Talpur Department of Ophthalmology, Sindh Institute of Ophthalmology & Visual Sciences, Hyderabad, Pakistan.
  • Sanja Ali Department of Ophthalmology, Al Ibrahim Eye Hospital, Karachi, Pakistan.
  • Madiha Chang Department of Ophthalmology, Sindh Institute of Ophthalmology & Visual Sciences, Hyderabad, Pakistan.

Keywords:

Cataract Extraction, Pediatric Ophthalmology, Traumatic Cataract, Treatment Outcome, Visual Acuity

Abstract

Objective: The study aimed to assess the visual outcomes following cataract surgery in children diagnosed with traumatic cataracts.
Methods: A cross-sectional study was conducted at the Isra Postgraduate Institute of Ophthalmology, Karachi, from December 2020 to June 2021. Children aged 5 to 15 years with traumatic cataract underwent cataract surgery were included in the study. Postoperative visual outcomes were assessed by measuring best-corrected visual acuity (BCVA) at day 1, week 1, week 4, and week 6 after surgery. Visual outcomes were categorized as ≤6/60, 6/36, 6/24, or 6/18 or better. Baseline data, including demographic details (age, gender, and residence), affected eye, type and cause of trauma, cataract morphology, preoperative IOP, and time interval between trauma and surgery (1 week to <1 month, 1 month to 1 year, >1 year) were recorded.
Results: Of total 163 children, the mean age was 9.67 ±2.34 years. At baseline, 149 (91.4%) of patients had BCVA ≤6/60. After excluding cases lost to follow-up, 110 patients remained. Postoperative visual improvement was observed progressively, with 94 (85.5%) achieving BCVA of 6/18 or better at six weeks (p-value < 0.001). Age >10 years (p-value 0.045), blunt trauma (p-value < 0.001), normal preoperative IOP (p-value < 0.001), and surgery within 1 month to 1 year post-trauma (p-value < 0.001) were significantly associated with better visual outcomes.
Conclusion: Cataract surgery in children with traumatic cataracts resulted in significant visual improvement, with better outcomes observed in those with older age, blunt trauma, normal preoperative intraocular pressure, and timely intervention.

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Published

2025-04-09

How to Cite

Azam, M., Memon, S., Abdul Majeed, A., Talpur, B. R., Ali, S., & Chang, M. (2025). Visual Outcome of Cataract Surgery in Children with Traumatic Cataract: A Cross-Sectional Study. Journal of the Dow University of Health Sciences (JDUHS), 19(1), 23–29. Retrieved from https://jduhs.com/index.php/jduhs/article/view/2438

Issue

Vol. 19 No. 1

Section

Original Articles

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Copyright (c) 2025 Muhammad Azam

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