Abstract:

Purpose: Evaluation of the results of cataractic surgery in cases of secondary traumatic cataracts developing to perforan eye injury. Method: In the study, the records of the phenomena applied to surgery due to secondary traumatic cataracts of perforate eye injury between 2015-2018 were reverse assessed. The patient’s age, gender, injury cause, injury zone, accompanied hyphema, fibrin reaction, iris prolapsus, vitreus loss, the condition of the front and rear capsule, ocular trauma score (OTS), the period between the first and second surgery, the placed in-ocular spine (GIM) location, well-correated vision severity (EIDGK) and additional findings were studied. Factors affecting EIDGK after cataract surgery have been studied. Results: The study included 19 eyes of 19 patients (4 women, 15 men) with an average age of 41,7±22,6 years (6-71) with 19 eyes. In 14 patients (73.6 percent) in zone 1, 4 (21.2 percent) in zone 2, 1 (5.2 percent) in zone 3 were injured. When they first applied, there were 4 patients (21%) with hyphema, 7 patients (36.8%) with fibrin reaction, 11 patients (57.8%) with iris prolaps, 16 patients (84.2%) with lens front capsule damage, 5 patients (26.3%) with vitreus loss. The patient's initial sights were an average of 0.07 ± 0.05 (p+ to 0.6). OTS was calculated as 2.4 ± 0.7. 12 patients (63.1 percent) received primary surgical repair, 4 percent (21.1 percent) received primary repair and lens extraction, 3 percent (15.7 percent) received primary repair, lens extraction and eye-in-the-counter (GIM) implantation. On average, 14 patients (73.6%) received lens extraction and GIM implantation after 69.1 ±56.6 (2-300) days of primary repair. 2 (10,5%) of the patients were not implanted with GIM. Patients in the first month after cataractic surgery had an average of 0.5± 0.3 (0.05-0,9) and the percentage of patients with a vision rate of 20/40 and above was 52.6%. Patients had a correlation between the 1st month of EIDGK and the beginning of EIDGK (p:0,044; r: 0.467 Pearson correlation test). Similarly, patients had a correlation between OTS and 1 month EIDGK (p:0,015; r:0,551 Pearson correlation test). In 2 patients (10,5%) the secondary glucoma developed, controlled by antiglokomatosis, while in 1 (5.2%) the retina decolm developed within 1 month and vitreoretinal surgery was performed. The result: Perforan affects the visual prognosis of secondary traumatic cataracts to eye injury; the initial level of vision and OTS. In these patients, in addition to the patient's clinical condition, surgery planning and timing is also important. Each phenomenon is assessed according to its own clinical condition; satisfactory visual results are obtained by performed surgical attempt.

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