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].

• Inflammation

  In each visit, patients were examined regarding visual acuity, intraocular pressure (IOP), anterior chamber inflammation, IOL position, and posterior synechiae. In addition, posterior segment evaluation and fundoscopy were performed. [ncbi.nlm.nih.gov]

  In each visit, patients were examined regarding visual acuity, intraocular pressure (IOP), anterior chamber inflammation, IOL position and posterior synechiae. In addition, posterior segment evaluation and funduscopy were performed. [clinicaltrials.gov]

• Surgical Procedure

  To present a case of rapidly progressing traumatic cataract caused by posterior capsule rupture after nonpenetrating ocular injury, as well as a surgical procedure to safely implant the intraocular lens in such a traumatized eye. [ncbi.nlm.nih.gov]

  The surgical procedures included reconstruction of the anterior segment, synechiolysis, excision of the membrane, lensectomy, vitrectomy and related techniques. Postoperative vision was significantly improved compared with preoperative vision. [ijo.cn]

  Of course, all surgical procedures involve some risk. […] Read More » This is the eighth installment of 9 Important Questions You Should Ask About Cataract Surgery which can be downloaded from ECOF’s free eBook library. [ecof.com]

  Systemic Diseases) Congenital and Juvenile Cataracts, Usually Bilateral (see also: Congenital Syndromes) Intraocular Diseases, Cataracta Complicata, Cataracta Subcapsularis Posterior, see also indentation, impression cataract Postoperative Cases and Surgical [atlasophthalmology.net]

• Juvenile Cataract

  H26 Other cataract Excludes1 congenital cataract ( Q12.0 ) H26.0 Infantile and juvenile cataract H26.00 Unspecified infantile and juvenile cataract H26.001 Unspecified infantile and juvenile cataract, right eye H26.002 Unspecified infantile and juvenile [icd10coded.com]

  10/1/2017) : No change 2019 (effective 10/1/2018) : No change ICD-10-CM Codes Adjacent To H26.1 H26.06 Combined forms of infantile and juvenile cataract H26.09 Other infantile and juvenile cataract H26.1 Traumatic cataract H26.10 Unspecified traumatic [icd10data.com]

  […] and Associated Systemic Diseases (see: Systemic Diseases) Congenital and Juvenile Cataracts, Usually Bilateral (see also: Congenital Syndromes) Intraocular Diseases, Cataracta Complicata, Cataracta Subcapsularis Posterior, see also indentation, impression [atlasophthalmology.net]

  2, juvenile cataract on one or both sides may be noted. [en.wikipedia.org]

• Macula

  Normal macula, vessels, and periphery, OU Other examination: No IOFB detected by maxillofacial CT or ocular echography. The posterior lens capsule appeared to be intact with b-scan echography. [eyerounds.org]

• Visual Impairment

  CONCLUSION: Eye injuries with traumatic cataract are associated with significant visual impairment. There were more children with penetrating eye injuries as compared with blunt trauma. [ncbi.nlm.nih.gov]

  It remains a significant cause of visual impairment and physical disability among adults and children. It is associated with various ocular injuries. [jcdr.net]

  Prevention of Blindness and Visual Impairment. World Health Organization. Archived from the original on 2015-05-24. ^ The global burden of disease : 2004 update. Geneva, Switzerland: World Health Organization. 2008. p. 35. [en.wikipedia.org]

• Blurred Vision

  We presented the case of a 48-year-old male who presented to our emergency service due to ocular pain and blurred vision in his right eye. [ncbi.nlm.nih.gov]

  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. [symptoma.com]

  Complaints: • Complaints of defective vision in Right eye for past 1 week 4. [slideshare.net]

  Usually almost asymptomatic in young patients, with most complaints concerning blurred vision due to the common corneal astigmatism, it might in time lead to several complications including premature cataract formation and pigmentary glaucoma. [journals.lww.com]

• Visual Impairment

  CONCLUSION: Eye injuries with traumatic cataract are associated with significant visual impairment. There were more children with penetrating eye injuries as compared with blunt trauma. [ncbi.nlm.nih.gov]

  It remains a significant cause of visual impairment and physical disability among adults and children. It is associated with various ocular injuries. [jcdr.net]

  Prevention of Blindness and Visual Impairment. World Health Organization. Archived from the original on 2015-05-24. ^ The global burden of disease : 2004 update. Geneva, Switzerland: World Health Organization. 2008. p. 35. [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]

• Scotoma

  Cataract eyeglasses have the disadvantage of limiting the field of vision (peripheral and ring scotoma). [alpfmedical.info]

• Tremulousness

  Diagnostic considerations: Cardinal symptoms include tremulous motion of the iris and lens when the eye moves (iridodonesis and phacodonesis). These symptoms are detectable under slit-lamp examination. [alpfmedical.info]

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.

A 58-year-old male was injured by acupuncture needle during acupuncture treatment for his cerebral infarction. [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]

Conclusion Posttraumatic cataracts with a metal foreign body in the lens require operative treatment in order to remove the foreign body, phacoemulsification and implantation of artificial lens. [experts.umn.edu]

CONCLUSION: 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]

The management of such cases is an important problem in Ophthalmology and prognosis is variable. [ijo.in]

METHODS: Pediatric traumatic cataract were reviewed for demographic information, type of injury, mode of injury, time of injury, interval between injury and first visiting doctors, hospital of first visiting, surgeries, complications and prognosis. [ijo.cn]

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 excellent patient education resources, visit eMedicine's Eye and Vision Center. [eyeglobe-eyeglobe.blogspot.com]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.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]

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]

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]

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 : 2420 Download times : 584 Abstract: AIM: To evaluate the etiologies [ijo.cn]

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]

LEVEL OF EVIDENCE: Epidemiologic study, level IV. [ncbi.nlm.nih.gov]

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]

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]

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.