Pediatric Traumatic Cataracts at a Tertiary Eye Center in Indonesia ()
Author(s)
Feti Karfiati Memed1,2*,
Desi Mariska2,
Maya Sari Wahyu1,2,
Irawati Irfani1,2,
Primawita Oktarima1,2,
Sesy Caesarya1,2
ABSTRACT
Background: Traumatic cataract is the leading cause of significant monocular visual impairment in children. The cause of this type of cataract is
preventable penetrating or blunt ocular injury. Lens extraction can improve the
visual acuity but it also depends on the
extent of the injury to other ocular structures. Objective: To describe the features of
pediatric traumatic cataract presenting at a tertiary eye center in Indonesia. Methods: This study is a descriptive study and the data were collected retrospectively from the medical records
of the patients who were diagnosed as pediatric traumatic cataract over the
period of January 1st 2019 to December 31st 2019.
Demographic data, trauma characteristics, clinical features, management, and
pre- and post-operative Best Corrected Visual Acuity (BCVA) were reviewed
retrospectively. Results: A total of 37 patients were diagnosed as
pediatric traumatic cataract. Among these patients, 78.38% were boys, with the
mean age of 9.14 ± 3.77 years old. Open globe injury was the
mechanism of injury for 54.05% patients. Besides lens aspiration, additional
procedures were membranectomy, anterior vitrectomy, primary posterior
capsulotomy, and synechiolysis. Eighty-one percent patients had unilateral
blindness preoperatively and 23.80% patients still had unilateral blindness on
three months of follow-up. Conclusion: In pediatric patients, traumatic cataract occurred predominantly in boys
while playing outside the house. The children who had ocular trauma still have
the risk of blindness even after the surgery. Trauma prevention and avoidance
by adult supervision when children engage in outdoor play activity are necessary.
Share and Cite:
Memed, F. , Mariska, D. , Wahyu, M. , Irfani, I. , Oktarima, P. and Caesarya, S. (2020) Pediatric Traumatic Cataracts at a Tertiary Eye Center in Indonesia.
Open Journal of Ophthalmology,
10, 332-340. doi:
10.4236/ojoph.2020.104036.