title: Pediatric traumatic cataract and surgery outcomes in eastern China: a hospital-based study.
abstract: OBJECTIVE
  To evaluate the etiologies, management, and outcomes of pediatric traumatic cataract in eastern China.
  
  
  METHODS
  Pediatric traumatic cataract were reviewed for demographic information, type of injury, mode of injury, time of injury, interval between injury and first visiting doctors, hospital of first visiting, surgeries, complications and prognosis.
  
  
  RESULTS
  A total of 117 eyes of 117 patients (96 boys and 21 girls) with unilateral injuries (66 right and 51 left eyes) were included in the study. The mean (SEM) age at diagnosis was (6.6±3.2) years (range, 1.3-13.8 years). Each cataract was categorized according to the type of trauma: closed-globe (n=26) or open-globe (n=91) injuries. The most common injuring objects were sharp metal objects (37.61%). The most common complication in open-globe injuries was corneal laceration, whereas traumatic mydriasis was most common in closed-globe injuries. Of 68 eyes in patients with open-globe injuries who received cataract extraction, intraocular lens (IOLs) were primarily implanted in 47 eyes (68.12%), whereas 18 eyes with closed-globe injuries received cataract extraction, and IOLs were primarily implanted in 17 eyes (94.4%). The surgical procedures included reconstruction of the anterior segment, synechiolysis, excision of the membrane, lensectomy, vitrectomy and related techniques. Postoperative vision was significantly improved compared with preoperative vision.
  
  
  CONCLUSIONS
  Pediatric traumatic cataract should be treated in time to attenuate the complications, and education on pediatric traumatic cataract and improvements in pediatric health care are needed for the early detection of cataract in children.
authors: Weifang Medical University, Weifang 261053, Shandong Province, China ; Shandong Eye Institute, Qingdao 266071, Shandong Province, China.
authors: Ying-Nan
authors: YN
authors: Xu
authors: Yu-Sen
authors: YS
authors: Huang
authors: Li-Xin
authors: LX
authors: Xie
keywords: cataract; children; trauma
references: J AAPOS. 2009 Apr;13(2):170-4
references: 19393516
references: Bull Soc Belge Ophtalmol. 2007;(306):57-61
references: 18251455
references: JNMA J Nepal Med Assoc. 2008 Oct-Dec;47(172):179-85
references: 19079390
references: Graefes Arch Clin Exp Ophthalmol. 2010 Sep;248(9):1293-7
references: 20585800
references: Ophthalmology. 1995 Jan;102(1):101-7
references: 7831023
references: Br J Ophthalmol. 2008 Aug;92(8):1031-4
references: 18653593
references: Br J Ophthalmol. 2001 Mar;85(3):267-71
references: 11222328
references: Pediatrics. 2006 Jul;118(1):296-303
references: 16818578
references: Korean J Ophthalmol. 2009 Sep;23(3):148-52
references: 19794939
references: Bull Soc Belge Ophtalmol. 2005;(298):13-7
references: 16422217
references: J Cataract Refract Surg. 2011 Jan;37(1):173-93
references: 21183112
references: Retina. 1999;19(5):430-6
references: 10546940
references: Am J Ophthalmol. 1997 Jun;123(6):820-31
references: 9535627
references: Indian J Med Sci. 2007 Jan;61(1):15-22
references: 17197734
references: Cornea. 2007 Apr;26(3):319-23
references: 17413960
references: Afr J Paediatr Surg. 2011 May-Aug;8(2):182-4
references: 22005361
references: Arch Ophthalmol. 2011 Oct;129(10):1293-7
references: 21987671
references: J Pediatr Ophthalmol Strabismus. 2011 Jul-Aug;48(4):226-31
references: 20669883
references: J Pediatr Ophthalmol Strabismus. 2009 Jul-Aug;46(4):202-7; quiz 208-9
references: 19645396
references: J Cataract Refract Surg. 2001 Sep;27(9):1519-22
references: 11566543
references: Zhonghua Yan Ke Za Zhi. 2010 Oct;46(10):938-43
references: 21176618
references: Ophthalmologe. 2003 Oct;100(10):843-6
references: 14618359
references: Croat Med J. 2004 Jun;45(3):310-3
references: 15185424
references: Indian J Ophthalmol. 2003 Jun;51(2):147-54
references: 12831145
references: Can J Ophthalmol. 2005 Aug;40(4):454-9
references: 16116509
references: Ophthalmology. 2001 Jun;108(6):1099-103
references: 11382636
references: Ophthalmology. 2004 Dec;111(12):2292-8
references: 15582089