Evaluation of surgical outcomes and associated factors in cataracts secondary to blunt trauma
International Ophthalmology, cilt.46, sa.1, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 46 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s10792-026-04151-2
- Dergi Adı: International Ophthalmology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, MEDLINE, Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
- Anahtar Kelimeler: Traumatic cataract, Blunt ocular trauma, Cataract surgery, Intraocular lens implantation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To evaluate the postoperative visual and refractive outcomes of cataract surgery following blunt ocular trauma over a ten-year period and to investigate the impact of timing of surgical intervention, and preoperative clinical findings on the final visual prognosis. Methods: This study included 92 patients who underwent cataract surgery secondary to blunt ocular trauma at a single-center tertiary care hospital between January 2015 and January 2025. Demographic characteristics, cataract types, lens status, timing of surgery, preoperative and postoperative best-corrected visual acuity (BCVA), spherical equivalent (SE), associated ocular findings, surgical complications, and same-session intraocular lens (IOL) implantation were analyzed. Results: The mean age of the patients was 54.7 ± 18.4 years, and 66.3% were male. The most common cataract types were mature cataract (50%) and cortical cataract (28.3%). Mean preoperative BCVA improved significantly to a mean best-achieved postoperative BCVA of 0.39 ± 0.50 logMAR. The mean postoperative spherical equivalent was − 1.11 ± 2.02 D. Complications were observed in 29.3% of patients intraoperatively and 35.9% postoperatively. No statistically significant associations were found between postoperative BCVA, SE, or astigmatism and lens status, cataract type, iris integrity, or timing of IOL implantation (p > 0.05). Conclusion: Cataract surgery secondary to blunt ocular trauma can result in significant visual improvement when appropriately managed; however, the risk of intraoperative and postoperative complications remains considerable. Therefore, individualized surgical planning is essential for optimizing outcomes in these patients.