Book chapter
Traumatic Cataract
Cataract Surgery, pp.389-398
Essentials in Ophthalmology, Springer International Publishing
07/28/2022
DOI: 10.1007/978-3-030-94530-5_33
Abstract
Traumatic cataract present interesting challenges to the cataract surgeon. The cataract can present immediately after trauma with capsule rupture or years later. The traumatic cataract is associated with zonular, capsular, and iris issues, which must be addressed during the surgery. Vitreous prolapse around loose zonules can be particularly difficult and may require consultation with a vitreoretinal surgeon. The capsular and zonular issues lead to more deliberate and careful nuclear disassembly techniques. The typical flow of surgery for traumatic cataract is (1) attend to any vitreous, (2) anterior capsulotomy recognizing the need for possible capsule support, (3) support zonules with capsular rings or retractors for surgery, (4) careful nuclear disassembly; (5) support IOL for long-term stability, and finally (5) repair any iris injuries. Close follow-up with attention to possible glaucoma and retina sequelae is critical to long-term visual rehabilitation.
Details
- Title: Subtitle
- Traumatic Cataract
- Creators
- Thomas A. Oetting - University of Iowa
- Resource Type
- Book chapter
- Publication Details
- Cataract Surgery, pp.389-398
- Publisher
- Springer International Publishing; Cham
- Series
- Essentials in Ophthalmology
- DOI
- 10.1007/978-3-030-94530-5_33
- eISSN
- 2196-890X
- ISSN
- 1612-3212
- Language
- English
- Date published
- 07/28/2022
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984277660202771
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