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NR 1-2/2004
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Odległe wyniki
leczenia zaćmy urazowej
Late results in the
treatment of traumatic cataract
Małgorzata Woś1, Barbara
Mirkiewicz-Sieradzka2
1 Z Oddziału Okulistyki Wojewódzkiego Szpitala
Specjalistycznego im. Ludwika Rydygiera w Krakowie
Ordynator: dr n. med. Jolanta Dubiel
2 Z Katedry i Kliniki Chorób Metabolicznych Collegium
Medicum Uniwersytetu Jagiellońskiego w Krakowie
Kierownik: prof. dr hab. n. med. Jacek Sieradzki |
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| Summary: |
Purpose: The aim of
the study was to analyse late results of treating
patients with cataract, due to blunt and perforating
trauma. Analysis included factors related to type of
treatment, time from the trauma to surgery, frequency
and type of complications.
Material and methods: The study population
consisted of 60 patients, 56 men aged from 13 to 76
years (mean age 39,9) and 4 women aged from 4 to 79
years (mean age 46,5). Cataract due to non perforating
trauma was found in 21 patients (35,0%), whereas 39
(65,0%) suffered from perforating trauma. Conservative
treatment was used in 17 patients, whereas 41 were
operated on, including 20 with PCIOL, 12 with ACIOL and
9 with NONIOL. In 2 persons the eyeball was removed
after the injury. Control examinations were performed in
45 patients. Follow-up ranged from one year to 5,5 years.
Results: Visual acuity did not differ
significantly between patients with cataract after the
non perforating and perforating trauma. Only, among the
patients with visual acuity between 1,0-0,5 the subjects
with the non perforating trauma differed significantly
from those, after the perforating trauma. 92,9% of them
had effective visual acuity (up to 0,1). In patients
with cataract after non perforating trauma, the mode of
treatment did not significantly affect the eye function.
In patients, after perforating trauma visual acuity was
significantly better in those with the intra-ocular
implant, especially with PCIOL. Timing of the procedure
did not have a significant effect on the outcomes. Late
complications occurred in 64,3% of patients with non
perforating trauma and were significantly more frequent,
but the type of complications did not differ
significantly, from those observed in patients after
perforating trauma.
Conclusions: 1. In case of cataract, especially
after perforating trauma it is recommended to insert an
intra-ocular implant. 2. Patients with traumatic
cataract should receive individualised treatment, and
the operation should be performed at the optimal moment,
as timing of the operation does not significantly affect
the late outcomes. 3. Patients with cataract after non
perforating trauma require careful and long-term
controls, because of significantly more frequent
complications. |
| Słowa kluczowe: |
zaćma urazowa, leczenie,
wyniki odległe, powikłania |
| Key words: |
traumatic cataract,
treatment, late results, complications |
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