The Visual Outcome of Primary Intraocular Lens Implantation in Traumatic Cataract Patients

Background: Trauma to the eye can cause other ocular issues in addition to cataract development. Both blunt trauma and penetrating trauma can result in traumatic cataract development. Young people, particularly boys, are more prone to trauma and have traumatic cataracts more frequently. Because media opacity increases the likelihood of amblyopia in youngsters, timing of surgery is crucial for visual rehabilitation. Several studies have shown that in cases of traumatic cataract, early evacuation of the cataract combined with IOL implantation leads to satisfactory vision. Aim: To evaluate the visual result of primary intraocular lens implantation combined with cataract extraction for traumatic cataracts resulting from blunt and penetrating ocular traumas. Methods: This prospective study includes 30 patients with traumatic cataract at a tertiary hospital situated in maharashtra, ranging in age from 5 to 50. The study was conducted between August 2023 and January 2024, over a duration of six months. The histories of these 30 patients were carefully recorded, including the trauma's etiology, duration, and related ocular injuries. Complications during and after the procedure were recorded. Following the procedure, the visual prognosis was recorded. Result: The final visual acuity, or best corrected visual acuity, was evaluated after three months in all 30 patients of traumatic cataract surgery. 17 cases (56.66%) had final visual acuity of 6/6?6/12, 9 cases (30%) had final visual acuity of 6/18?6/36, and 4 cases (13.3%) had final visual acuity of less than 6/60.Good visual outcomes were observed in 30 patients of traumatic cataract in this investigation, which were treated by cataract extraction and primary intraocular lens implantation. Conclusions: It has been noted that primary IOL implantation and traumatic cataract extraction provide favorable visual outcomes, preventing amblyopia and divergence of the eyes.