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Five patients who had traumatic cataract also had vitreous hemorrhage and/or retinal detachment and referred to a vitreoretinal surgeon.
At final visit, 46 eyes were pseudophakic, 26 were phakic, 10 had traumatic cataract, 15 eyes were aphakic, and 4 eyes had undergone evisceration and 1 eye had undergone enucleation.
Traumatic cataract may develop within hours and prevent visualization of the fundus.
All those with simple age-related cataracts with no ocular conditions that can limit the final visual outcome were included, while all patients of glaucoma, maculopathies, traumatic cataract and those with previous ocular surgeries were excluded.
Visual acuity at presentation was hand movement (HM) at 1 meter in affected eye with hyphema, traumatic cataract, iridodialysis and severe commotio retinae.
Background: The most common manifestation of ocular trauma is traumatic cataract, which remains a significant cause of visual impairment and physical disability in spite of diagnostic and therapeutic advances.
Noah later developed a cataract and a detached retina in his left eye; he subsequently underwent successful surgery to repair the traumatic cataract and retinal detachment.
In our series, the most common B-scan finding was traumatic cataract (47%) & the most common posterior segment finding was vitreous haemorrhage (34%).
Patients with previous intraocular surgery, refractive error greater than [+ or -] 5 D, pseudoexfoliative or traumatic cataract, and patients requiring silicone or gas endotamponade were not included in the study.
1 At least 30% of penetrating traumas present with traumatic cataract and it is actually the most common complication of penetrating ocular injury which results in loss of vision.
Exclusion criteria included: complicated cataract extraction, history of trauma to eye resulting in traumatic cataract, history of, or ongoing uveitis and glaucoma, pseudoexfoliation and pigment dispersion syndrome, retinal detachment and history of, or current prolonged topical or systemic corticosteroid use.
conjunctival injection, clear cornea, an anterior lens capsule rupture bissecting the lens capsule along the 7 to 11 o'clock line extending under the superior and inferior iris margins to the lens equator, and traumatic cataract that did not yet seriously impede visualization of the fundus (Figure 1).

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