Clinical Evaluation of Traumatic Cataract with Corneal Laceration.

Yeo, Sung Il; Kim, Tae Yon

Original Article

Journal of the Korean Ophthalmological Society 2000;41(5):1170-1176.
Published online May 1, 2000.

Clinical Evaluation of Traumatic Cataract with Corneal Laceration.

Sung Il Yeo, Tae Yon Kim

Department of Ophthalmology, Kon-Yang Hospital, Korea.

각막열상을 동반한 외상성 백내장 수술에 대한 임상적 고찰

여성일(Sung Il Yeo),김태연(Tae Yon Kim)

Abstract

The cataract extraction in traumatic cataract with corneal laceration is likely to be different from the ordinary cataract extraction in several points. We tried to know the problems of the operation, the visual outcomes and the postoperative complications in these eyes. In 25 traumatic cataract with corneal laceration, we performed cataract extraction and corneal suture at the same time in 11 eyes and at different time in 14 eyes. The intraoperative problems were difficult anterior capsulotomy, corneal opacity, difficult lens delivery etc.The major postoperative complications were anterior chamber inflammation, corneal edema, posterior capsular opacity and exudative pupillary membrane. In 23 eyes[92%], the visual acuity was increased more than 2 lines. Cataract extraction in traumatic cataract with corneal laceration was very effective surgery, and cataract extraction after primary corneal suture has done had good results in severe corneal laceration with suspicious posterior capsular rupture and non-fitted preoperative preparation.

Key Words: Cataract extraction;Corneal laceration;Traumatic cataract