Successful surgical rehabilitation of children with traumatic corneal laceration and cataract

Gerald W. Zaidman, Teresa C. Ramirez, Adam H. Kaufman, David A. Palay, Robert L. Phillips, Norman B. Medow

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: To evaluate the visual and refractive outcome of corneal transplant surgery, cataract extraction, and intraocular lens (IOL) implantation in children with traumatic corneal laceration and cataract. Design: Retrospective, noncomparative case series. Participants: Five patients, 7 years of age or younger, who underwent penetrating keratoplasty, cataract extraction, and IOL implantation for traumatic corneal laceration and cataract were identified. Main Outcome Measures: Each case was analyzed retrospectively for the following factors: preoperative findings; surgical technique, including management of the posterior capsule; measurement of axial length and keratometry; calculation of IOL power, style, and type of IOL implanted; graft clarity; final visual acuity; and final refraction. Results: The five children ranged from 3 to 7 years of age at the time of trauma. All had primary repair of their injury before referral. Each patient was observed for more than 2 years. Each had a posterior chamber IOL placed in the sulcus. After surgery, no severe complications were observed. The preoperative visual acuity ranged from 20/400 to light perception. After surgery, all five patients had clear grafts and an improved visual acuity ranging from 20/20 to 20/400. The final spherical refraction in each patient was within 3.75 diopters (D) of plano, with 1.50 to 3.25 D of cylinder. Conclusions: Successful surgical rehabilitation was accomplished in these patients. Despite their young age and the difficulty in determining IOL power, combining surgery and aggressive amblyopia therapy resulted in visual rehabilitation with refractions approaching emmetropia.

Original languageEnglish (US)
Pages (from-to)338-342
Number of pages5
JournalOphthalmology
Volume108
Issue number2
DOIs
StatePublished - 2001
Externally publishedYes

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Lacerations
Cataract
Intraocular Lenses
Rehabilitation
Visual Acuity
Intraocular Lens Implantation
Cataract Extraction
Transplants
Emmetropia
Penetrating Keratoplasty
Amblyopia
Wounds and Injuries
Capsules
Referral and Consultation
Outcome Assessment (Health Care)
Light
Power (Psychology)

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Successful surgical rehabilitation of children with traumatic corneal laceration and cataract. / Zaidman, Gerald W.; Ramirez, Teresa C.; Kaufman, Adam H.; Palay, David A.; Phillips, Robert L.; Medow, Norman B.

In: Ophthalmology, Vol. 108, No. 2, 2001, p. 338-342.

Research output: Contribution to journalArticle

Zaidman, Gerald W. ; Ramirez, Teresa C. ; Kaufman, Adam H. ; Palay, David A. ; Phillips, Robert L. ; Medow, Norman B. / Successful surgical rehabilitation of children with traumatic corneal laceration and cataract. In: Ophthalmology. 2001 ; Vol. 108, No. 2. pp. 338-342.
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