NR. 4/2003
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Zaćma pourazowa - przyczyny, techniki
operacyjne i wczesne wyniki w materiale Kliniki Okulistyki Wojskowego Instytutu Medycznego
w Warszawie w latach 1995-2002
Traumatic cataract - reasons, methods of surgical treatment and early results in the
material of Department of Ophthalmology, Military Medical Institute in Warsaw from 1995 to
2002
Małgorzata Figurska, Bożena Mańkowska, Lech Gawron
Klinika Okulistyki Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. med. Andrzej Stankiewicz |
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| Summary: |
Purpose: To evaluate reasons of traumatic
cataract, methods of surgical treatment and early results.
Material and methods: We examined 34 eyes in 34 patients aged from 5 to
73 years (mean aged 37,5) - 7 women (21%) and 27 men (79%). Cataract after blunt trauma
was found in 15 patients (44%), after penetrating trauma without foreign body in 13
(38,5%) and after penetrating trauma with foreign body in 6 (17,5%).
Results: Mean period between blunt trauma and traumatic cataract
extraction was 7 years (from 2 days to 34 years), for patients after penetrating trauma
without foreign body - 3,5 years (from one day to 20 years) and after penetrating trauma
with foreign body - 2 days (from 1 to 4 days). Facoaspiration was performed in 19
patients (56%). Intraocular lens was implanted in 23 patients (68%), to the capsula in 14
(60,8%). In 80% patients additional procedures with vitrectomy were performed with
cataract extraction. Improvement of visual acuity after cataract extraction concerns 26
patients (76%): 12 (80%) after blunt trauma, 10 (77%) after penetrating without foreign
body and 4 (66%) patients with intraocular foreign body.
Conclusions: Traumatic cataract surgery, gives the chance for improvement
of visual acuity in eyes with or without intraocular implants. |
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| Key words: |
traumatic cataract, blunt trauma, penetrating trauma,
penetrating trauma with foreign body, surgical treatment of traumatic cataract, early
results |
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