Intraocular lens implantation in traumatic cataract: terms and prospects

A prospective randomized clinical trial included 30 patients (60 eyes) with traumatic cataract after open eye injury. Patients were divided into 2 groups depending on the time of the operation. The first (n = 15, 30 eyes) was an early operation (1–3 days after the injury). The second (n = 15, 30 eyes) is a late operation (6 or more days after the injury). Research methods – measurement of visual acuity, intraocular pressure (IOP), assessment of inflammation of the anterior chamber, position of the intraocular lens (IOL), etc. The study period was 1, 3, and 6 weeks after surgical treatment. It was revealed that visual acuity with the best correction was noted 6 weeks after the early operation. Also in the group of early cataract surgery, the frequency of postoperative complications (rupture of the posterior capsule, increased IOP, inflammation of the anterior chamber, IOL opacity, posterior synechia, IOL subluxation and pigment deposition on the IOL) was significantly lower than in the late surgery group (p < 0.05). It is recommended to perform cataract surgery and IOL implantation after open eye injuries at an early stage. Keywords: surgery, traumatic cataract, vision, intraocular lens implantation