Aim: The aim of this study was to evaluate clinical and epidemiological profile of traumatic cataract at our hospital setting. Methods: This was a retrospective study which enrolled all the patients diagnosed with traumatic cataract and operated at SGRRIM & HS, Dehradun between January 2015 and December 2018. Preoperative data was recorded in terms of age, sex, time of presentation of the patient, type of trauma, morphology of cataract, preoperative vision and associated anterior and posterior segment ocular injuries. Postoperative data included
uncorrected visual acuity (UCVA) at day one and best corrected visual acuity (BCVA) at 6 weeks. Statistical analysis used was SSPV software. Results: Majority of patients were males (74%), between 16 and 30 years of age group (39.6%) and penetrating trauma (58%) was more common than blunt trauma. Road side accidents (41%) was the
commonest mode of injury followed by domestic violence (34%) and least was industrial trauma. (25%) Most of the patients operated had intraocular lens (IOL) implantation and only 11.3% were left aphakic. Postoperative BCVA at 6 weeks was in range of 6/60 to 6/24 in majority (47.16%) of cases while 39.62% of patients had better (6/18–6/6) visual outcome. Corneoscleral perforation was the most common comorbidity. (43.4%) Retinal detachment(RD), traumatic optic neuropathy (TON) and endophthalmitis were the main causes of poor visual outcome seen in
13.22% of cases. Conclusion: Our study has shown that main cause of traumatic cataract was road side accidents in younger age group predominantly males which could have been minimized by general public awareness of traffic rules, use of helmets and avoiding drunken driving.
Keywords Traumatic cataract; Visual outcome; Penetrating trauma.