Abstract
All patient coming to Index Medical College Hospital & Research Centre, Indore operated in Department of Ophthalmology for traumatic cataract due to various injuries
 Result: Of the 37 patients, 19 patients (51%) showed corneal/ corneal sclera injury. 10 cases had injury to iris in the form of spincter tear, traumatic mydriasis, iris incarceration, floppy iris, posterior and anterior synechiae. Subluxation of lens was seen in 2 cases and Dislocation of lens was in 1 cases. 3 cases had corneal opacity. Old retinal detachment was seen in 1 (3%) case.
 Out of 30 cases who had associated ocular injuries, 3 cases had vision of HM, 07 cases had vision of CF-ctf – CF-3’, 01 cases had vision of 5/60, 07 cases had vision of 6/60-6/36, 03 cases had vision of 6/24-6/18, 09 cases had vision of 6/12-6/6.
 Out of 7 cases without associated in injury, 2 cases had vision of 6/24-6/18, 05 cases had vision of 6/12-6/6.
 Conclusion: Corneal scarring obstructing the visual axis as well as by inducing irregular astigmatism formed an important cause of poor visual outcome in significant number of cases. Irreversible posterior segment damage lead to impaired vision case.
 The final visual outcome showed good result however the final visual outcome depends upon the extent of associated ocular injuries. Effective Intervention and management are the key points in preventing monocular blindness due to traumatic cataract.
 Keywords: Ocular, Tissues, Traumatic, Cataract & Surgery.
Highlights
Combination of coup and countercoup injury along with equatorial expansion causes damage to the protoplasmic structures of the lens fibers and necrosis of the capsular material may result
All patient coming to Index Medical College Hospital & Research Centre, Indore operated in Department of Ophthalmology for traumatic cataract due to various injuries Result: Of the 37 patients, 19 patients (51%) showed corneal/ corneal sclera injury. 10 cases had injury to iris in the form of spincter tear, traumatic mydriasis, iris incarceration, floppy iris, posterior and anterior synechiae
Corneal scarring obstructing the visual axis as well as by inducing irregular astigmatism formed an important cause of poor visual outcome in significant number of cases
Summary
Combination of coup and countercoup injury along with equatorial expansion causes damage to the protoplasmic structures of the lens fibers and necrosis of the capsular material may result. The opacity may be localized or the entire lens may be involved Both experimentally and clinically the opacity invariably commences in the sub capsular region more commonly posterior part where no epithelium is present. In this region the lens fibers normally have a limited but sufficient sodium and potassium transport capacity which does not seem to be sufficient to counteract an increased sodium concentration following an anterior lens injury, resulting in aqueous imbibitions with subsequent cataract formation.[3]. The clinical appearance of the cataract that occurs with or without a capsular tear are very akin as the mechanism involved in both leads to aqueous imbibitions resulting in cataract formation.[4,5]
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