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Traumatic Cataract

Traumatic cataract is an opacification of the eye's normally clear lens due to various kinds of physical and electrical injury, as well as radiation exposure. Trauma is one of the acquired causes of cataracts, but they may also be congenital. The classification of traumatic cataracts usually entails a description of their location and shape.


A history of trauma is necessary but may not be recent, as cataracts often develop slowly, and may appear years after the incident. Traumatic cataracts can be unilateral or bilateral. Injury due to blunt trauma is most commonly encountered, although penetrating trauma and other non-mechanical agents can also cause them [1] [2]. Children constitute a sizable proportion of the population affected, and it has been reported that males are significantly more at risk than females [3] [4]. The most frequent patterns of injury seen also vary between different age groups, with children more likely to be injured during play, and young adults during sports. The same applies for residence, as certain types of injuries are more likely to occur in rural rather than urban areas, for instance, accidental injury while collecting wood [1] [5].

Signs of traumatic cataracts are generally the same as those seen in other types of cataracts, with complaints of several visual disturbances such as blurred vision, diplopia, reduced day or night vision, and eventually blindness. The classical shape of trauma related cataracts is rosette or stellate, however traumatic cataracts are not limited to this configuration, given the possible mechanisms of the trauma [6]. On account of the etiology of these cataracts, in addition to the above problems, many patients also have concurrent damage to other ocular, orbital and cranial structures and the severity is often proportional to the force imparted [7].

Juvenile Cataract
  • cataract H26.09 Other infantile and juvenile cataract H26.1 Traumatic cataract H26.10 Unspecified traumatic cataract H26.11 Localized traumatic opacities Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10[icd10data.com]
  • Malformations and Abnomalities Conjunctiva Cornea Glaucomas, Ocular Hypertension Hypertensive Retinopathy Iris and Ciliary Body Lacrimal System Lens Anatomy and Embryology Cataract and Associated Systemic Diseases (see: Systemic Diseases) Congenital and Juvenile[atlasophthalmology.net]
  • cataract on one or both sides may be noted.[en.wikipedia.org]
Corneal Opacity
  • Good visual acuity was achieved in a large proportion of the children despite associated corneal opacities and several intraoperative and postoperative complications.[ncbi.nlm.nih.gov]
  • A 38.5% patients had corneal opacity among penetrating injury patients. The interval between trauma and surgery was less than one month among 75% of patients. After three months of surgery, 43.7% patients had visual acuity of 6/18.[jcdr.net]
  • Humphrey 24-2 visual field testing revealed a nasal hemianopsia in the left eye. After cataract extraction and intraocular lens implantation, the patient's visual field returned to normal.[ncbi.nlm.nih.gov]
  • Limitation: included many neglected injury cases. Weakness: uncontrolled study, one-third enrolment from outreach limits generalisation of findings, short follow-up; loss of follow-up of 12 patients at various stages of study.[bmjopen.bmj.com]


The next step is a thorough ophthalmological exam, ranging from testing visual acuity using the Snellen chart and the range of eye movements to visualizing the eyes' structures through an ophthalmoscope; which may show abnormalities in the red reflex. A slit lamp examination, if available, is best for a more detailed inspection of ocular contents and a clearer view of cataracts. Furthermore, a complete physical examination is important, with emphasis on searching for signs of cranial nerve injury, fractures, intracranial and periorbital hemorrhage.

Imaging studies are necessary, to evaluate the extent of ocular damage and to reveal any foreign bodies that may have been missed. The techniques of ultrasound, computerized tomography (CT) scan and magnetic resonance imaging (MRI) scan are often employed, as they are all useful and have their own advantages [7] [8]. Ultrasound is ideal for assessing intraocular damage as well as detecting foreign bodies, while CT scans show fractures in the orbits and cranium [7]. MRI scans may be used to detect non-magnetic foreign bodies.

Routine blood tests including a full blood count, complete metabolic panel and clotting studies can be done if surgery is anticipated.

  • . • In India the largest series of fungal isolates being Aspergillus sp followed by fusarium sp , penicillium sp • Etiology : - Defect in epithelial barrier due to external trauma including Contact lens previous surgery compromised ocular surface Systemic[slideshare.net]


  • A 58-year-old male was injured by acupuncture needle during acupuncture treatment for his cerebral infarction.[ncbi.nlm.nih.gov]
  • We found an isolated posterior capsule rupture on the third day after trauma in a 25-year-old man who was admitted for the treatment of traumatic hyphema and we performed a phacoemusification and anterior vitrectomy with PC-IOL, implantation because of[ncbi.nlm.nih.gov]
  • The result suggests that the epikeratophakia is one of the best treatment for the pediatric aphakia especially for those who are not optimal for IOL implantation.[ncbi.nlm.nih.gov]
  • There is no standard classification, investigation, or treatment guidelines for the same. There are controversies regarding predictive models.[ncbi.nlm.nih.gov]
  • Treatment of Traumatic Cataract is the same as treatments of other types of cataract but we have to make sure to treat other complications of trauma such as eyelid laceration, corneal wounds, Hyphema and retinal injuries.[webeyeclinic.com]


  • Closed-globe injury has more favourable prognosis for the satisfactory ( 20/60) visual recovery after effective management of traumatic cataracts in children.[ncbi.nlm.nih.gov]
  • Open-globe injury has a more favorable prognosis for satisfactory ( 20/60) visual recovery after management of traumatic cataracts.[ncbi.nlm.nih.gov]
  • The management of such cases is an important problem in Ophthalmology and prognosis is variable.[ijo.in]
  • Prognosis The prognosis is dependent on the extent of the injury. Patient Education Protective eyewear is important in high-risk activities to avoid injury. For patient education resources, see the Eye & Vision Center as well as Cataracts .[emedicine.medscape.com]


  • Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10data.com]
  • These data suggest that the model of the system's loss of control on the elongation of the eye may provide valuable information and a precise direction for research on etiology and control of myopia.[ncbi.nlm.nih.gov]
  • Etiology and pathogenesis CATARACT TRAUMATIC (CATARACTA TRAUMATICA) The violation of the integrity of the lens bag with injuries of the eye , usually perforated. Symptoms and course CATARACT TRAUMATIC (CATARACTA TRAUMATICA) Symptoms.[lecheniebolezni.com]
  • Institute, Qingdao , Shandong Province, China Yu-Sen Huang Shandong Eye Institute, Qingdao , Shandong Province, China Li-Xin Xie Shandong Eye Institute, Qingdao , Shandong Province, China Hits : 2269 Download times : 575 Abstract: AIM: To evaluate the etiologies[ijo.cn]
  • Etiology: Extracapsular cataract extraction removes only the anterior central portion of the capsule and leaves epithelial cells of the lens intact along with remnants of the capsule.[alpfmedical.info]


  • Epidemiologic study, level IV.[ncbi.nlm.nih.gov]
  • The epidemiology and diagnosis of penetrating eye injuries. Acad Emerg Med. 2002 Mar;9(3):209–13. Reddy AK, Ray R, Yen KG. Surgical intervention for traumatic cataracts in children: epidemiology, complications and outcomes.[medresearch.in]
  • The epidemiology of ocular trauma in rural Nepal. Br J Ophthalmol. 2004; 88:456-60. Abraham, D. I.; Vitale, S. I.; West, S. I.; Isseme, I. Epidemiology of eye injuries in rural Tanzania. Ophthalmic Epidemiol.1999; 6:85-94 D. Virgil Alfaro, Eric P.[eyewiki.aao.org]
  • Epidemiology Frequency United States Approximately 2.5 million eye injuries occur annually in the United States. It is estimated that approximately 4-5% of a comprehensive ophthalmologist's patients are seen secondary to ocular injury.[emedicine.medscape.com]
Sex distribution
Age distribution


  • Pathophysiology Blunt trauma is responsible for coup and contrecoup ocular injury. Coup is the mechanism of direct impact.[eyeglobe-eyeglobe.blogspot.com]
  • Careful examination and a management plan can simplify these difficult cases and provide the best possible outcome. [ 5 , 6] Pathophysiology Blunt trauma is responsible for coup and contrecoup ocular injury. Coup is the mechanism of direct impact.[emedicine.medscape.com]


  • The need for adequate health education to prevent ocular injuries and preoperative diagnosis of associated posterior segment complications that may prevent optimal post-operative visual acuity is also noted.[ncbi.nlm.nih.gov]
  • Diagnostic ultrasound examination of eyes with opaque media may be of great value in preventing such cases.[ncbi.nlm.nih.gov]
  • The rehabilitation of the the postoperative vision and the prevention of amblyopia were observed with a mean follow-up period of 20 months. All the lenses remained transparent.[ncbi.nlm.nih.gov]
  • The study comprised eyes with traumatic cataract opaque enough to prevent visualization of the posterior lens capsule on slitlamp examination.[ncbi.nlm.nih.gov]
  • In all cases, cataract was dense enough to prevent visualization of the posterior lens capsule. Echography was performed using a 20-MHz probe to detect rupture of the posterior lens capsule.[ncbi.nlm.nih.gov]



  1. Khatry SK, Lewis AE, Schein OD, et al. The epidemiology of ocular trauma in rural Nepal. Br J Ophthalmol. 2004;88(4):456–460.
  2. Singh D, Singh K, Singh J, Sood R. The role of intraocular lens in traumatic cataract. Indian J Ophthalmol. 1983;31(3):294–297.
  3. Smith D, Wrenn K, Stack LB. The epidemiology and diagnosis of penetrating eye injuries. Acad Emerg Med. 2002;9(3):209–213.
  4. Cillino S, Cassiccio A, Di Pace F, Pilliteri F, Cillino G. A five-year retrospective study of the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in a Mediterranean area. BMC Ophthalmol. 2008;8:6.
  5. Shah M, Shah S, Shah S, Prasad V, Parikh A. Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients. Ind J Ophthalmol. 2011;59(3):217–222.
  6. Shah MA, Shah SM, Shah SB, et al. Morphology of traumatic cataract: Does it play a role in final visual outcome? BMJ Open. 2011;1(1):e000060.
  7. Kumar A, Kumar V, Dapling RB. Traumatic cataract and intralenticular foreign body. Clin Exp Ophthalmol. 2005;33(6):660-661.
  8. Yang B, Shan L, Song W, et al. Copolymer-1 immunization reduces damage in retinal ganglion cells under high intraocular pressure through altering the expression of retinal neurotrophins. J Ocul Pharmacol Ther. 2010;26(1):11-19.

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Last updated: 2018-06-22 05:13