Journal of Advances in Medicine and Medical Research

Background: Traumatic cataract accounts for a large proportion of monocular visual disability and blindness in pediatric populations, especially in developing countries. This study aims to evaluate the axial length and other biometric data changes after penetrating corneal wound in pediatric eyes.

Methods: This is a prospective comparative control study carried on thirty children with unilateral penetrating ocular trauma associated with cataract. Patients were classified into 3 groups: Group A (n= 15 eyes) underwent cataract extraction and IOL implantation in same session 6 weeks after trauma, Group B (n= 15 eyes) underwent cataract extraction, and IOL implantation in second session 3 months after trauma and the third one is the control group with 30 contralateral eyes of both groups

Results: Regarding axial length, measures were reported to be was (22.882 ± 0.712) mm in group (A) after 6 weeks from the incidence of trauma, while in group (B) it was (22.568 ± 0.881) mm. P-value was insignificant (0.292). After 12 weeks, mean AL in group A was reported to be 23.199 ± 0.724) mm while in group B it was (22.903 ± 1.008) mm with insignificant p value as well (0.362). After 6 weeks, the mean K-readings for group A were found to be 41.184 ± 2.109 while group B were (42.928 ± 2.433). After 12 weeks, the mean K-readings for group A were 41.491 ± 1.729 while group B were (42.797 ± 2.518).

Conclusion: Early I/A and anterior vitrectomy recommended for cases with free lens in AC for fear of reaction, while IOL implantation is recommended to wait after stitches removal.