Spontaneous resolution of a traumatic cataract in a patient with an open-globe ocular injury: a case report.
BMC Ophthalmol
; 20(1): 285, 2020 Jul 13.
Article
en En
| MEDLINE
| ID: mdl-32660455
ABSTRACT
BACKGROUND:
We report a case of spontaneous resolution of a traumatic cataract in a patient with an open-globe ocular injury. This case highlights the importance of conservative management in these types of cases, as excellent visual outcome is possible without invasive surgical intervention. CASE PRESENTATION A 13-year-old boy presented with a corneal laceration in the left eye caused by a neuter pen. He underwent emergency repair of the corneal laceration under general anesthesia, and at 3 days post-op, a dense posterior cortical cataract was observed. Based on the patient's age and normal visual development, in addition to preserving accommodative potential, the patient received conservative management and follow-up. Interestingly, the cataract spontaneously resolved over the following 9 months and the corrected distance visual acuity in the injured eye was restored from finger counting at 50 cm, to 20/25 + 3.CONCLUSIONS:
To optimize treatment in pediatric traumatic cataract, several critical factors such as age, visual development and the preservation of accommodative potential, need to be comprehensively considered. Conservative management with lens preservation is important to consider in young, traumatic cataract patients where invasive surgical intervention may not be required.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Catarata
/
Extracción de Catarata
/
Lesiones Oculares Penetrantes
/
Cristalino
Tipo de estudio:
Etiology_studies
/
Observational_studies
Límite:
Adolescent
/
Child
/
Humans
/
Male
Idioma:
En
Revista:
BMC Ophthalmol
Asunto de la revista:
OFTALMOLOGIA
Año:
2020
Tipo del documento:
Article