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Introduction: Traumatic cataract is a significant cause of visual impairment and blindness, particularly in young, active individuals. It results from direct or indirect ocular trauma that damages the crystalline lens, leading to opacification and impaired vision. The management of traumatic cataract poses unique challenges, including associated ocular injuries, increased risk of complications, and complex surgical techniques. This evaluation aims to outline the clinical approach and management strategies for patients presenting with traumatic cataract. Surgically induced astigmatism is the cause of poor postoperative vision even after uneventful cataract surgery. Materials and methods: This is a prospective study was conducted in the Department of Ophthalmology, Mahavir Institute of Medical Sciences and Research Centre in patients who was presented with unilateral traumatic cataract, underwent surgical intervention and completed at least 6 months. Patients of both genders and all age groups with unilateral traumatic cataract were included in the study. Patient's data including demographic details, causative agents, initial visual acuity, intraocular pressure, slit lamp examination findings, B-scan findings, treatment / surgery, early and late complications and final outcome were obtained from patient's chart in the hospital record. Removal of cataract was performed as a second and separate procedure in patients of perforating ocular injury, intraocular lens (IOL) implantation was performed only in patients with adequate capsular support. Patients without any capsular support were kept aphakic. Anterior vitrectomy was performed in patients with posterior capsular tear and vitreous prolapse. Result: Majority of the cases were seen in age group 5-14 years with male preponderance. 55% were penetrating trauma and 45% were blunt trauma. Corneal and iris tissue injuries were the most common associated injuries. Final visual acuity was 6/6-6/18 in 43% of patients, 6/24-3/60 in 31% of patients and less than 3/60 in 26% of patients. The most common late complication was PCO. On comparing final visual outcome among adult and paediatric age group, there was no significant difference. The time interval between injury and intervention had no significant effect on final visual outcome. Conclusion: This study demonstrates the critical importance of timely management and tailored surgical approaches in traumatic cataract cases. While the majority of patients achieved favorable visual outcomes, associated ocular injuries and complications significantly influenced the prognosis. Continued advancements in surgical techniques and post-operative care are essential to improving outcomes in such cases. |