Postoperative Course of Traumatic Cataract

Abstract

The visual recovery in traumatic cataract have much improved, because of introduction of microsurgery and of progress in postoperetive manegement or pleoptics. Only a few reports are available on the prognosis for the binocular function. Eight patients after unilateral traumatic cataract operation, who complained diplopia just after the contact lens wearing, were reviewed in postoperative course of visual acuity, binocular vision, eye position, and the relation to the duration of visual recovery.The length of the duration of visual recovery was well correlated with the degree of abnormal eye position, not with deterioration of binocular vision. Binocular vision was deteriorated in fusion and stereopsis, while simultaneous perception was maintained. This suggests the normal retinal correspondence. After the surgical correction of abnormal eye position, the range of fusion was improved.At the point of prognosis of visual function, there was a separation between visual acuity and binocular vision.We considered after unilateral traumatic cataract operation not only visual acuity but also binocular function should be followed-up.