Traumatic Cataract: Causes, Classification and Management
Acieh Eshaghi1 , Ehsan Barzanouni2 , Sepehr Roozdar1 *
- Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
- Department of Ophthalmology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: Traumatic cataract is a common complication of ocular trauma that can cause significant visual impairment. The management of traumatic cataract poses several challenges, as it is often associated with other ocular injuries and comorbidities. This review article aims to provide an overview of the current literature on the epidemiology, pathophysiology, classification, diagnosis, and treatment of traumatic cataract. Through this review, we aim to enhance understanding of traumatic cataract and contribute to improved patient care and outcomes.
Methods: Published literature review in medical research databases.
Results: The article covers the following topics and it delves into the intricacies of anterior and posterior segment damage, exploring their implications on the onset and progression of traumatic cataract. The article further discusses the unique challenges and considerations in managing traumatic cataract in pediatric patients, a particularly vulnerable group. A comparative analysis of sharp versus blunt traumatic cataract is presented, highlighting the differences in etiology, clinical presentation, and management strategies. The article also investigates the complex interplay between systemic diseases and traumatic cataract, providing insights into how systemic health can influence ocular outcomes. In the context of surgical intervention, the article offers a detailed discussion on intraocular lens (IOL) considerations for traumatic cataract surgery, guiding clinicians in optimizing visual outcomes for patients. Lastly, the article addresses the management of anterior and posterior capsular rupture in traumatic cataract, a common complication that requires careful surgical planning and technique. The article also discusses the surgical techniques, outcomes, and complications of traumatic cataract surgery, as well as the future directions and research needs in this field.
Conclusion: Traumatic cataract is a heterogeneous condition that requires individualized and multidisciplinary approach to optimize visual rehabilitation and prevent complications.
