eMedicine Specialties > Ophthalmology > Lens

Cataract, Traumatic: Differential Diagnoses & Workup

Author: Robert H Graham, MD, Senior Associate Consultant, Department of Ophthalmology, Mayo Clinic, Scottsdale, Arizona
Coauthor(s): Brian C Mulrooney, MD, Private Practice, Ophthalmology, Crestwood Hospital
Contributor Information and Disclosures

Updated: Feb 4, 2009

Differential Diagnoses

Cataract, Senile
Laceration, Corneoscleral
Choroidal Rupture
Sudden Visual Loss
Ectopia Lentis
Glaucoma, Angle Recession
Hyphema

Other Problems to Be Considered

Globe rupture
Orbital fractures
Retinal detachment
Secondary glaucoma
Traumatic optic neuropathy

Workup

Imaging Studies

  • B-scan - If the posterior pole cannot be visualized
  • A-scan - Prior to cataract extraction
  • CT scan of the orbits - Fractures and foreign bodies

More on Cataract, Traumatic

Overview: Cataract, Traumatic
Differential Diagnoses & Workup: Cataract, Traumatic
Treatment & Medication: Cataract, Traumatic
Follow-up: Cataract, Traumatic
Multimedia: Cataract, Traumatic
References

References

  1. Chuang LH, Lai CC. Secondary intraocular lens implantation of traumatic cataract in open-globe injury. Can J Ophthalmol. Aug 2005;40(4):454-9. [Medline].

  2. Dinakaran S, Kayarkar VV. Traumatic retinal break from a viscoelastic cannula during cataract surgery. Arch Ophthalmol. Jun 2004;122(6):936. [Medline].

  3. Jaffe NS, Jaffe MS, Jaffe GF. Lens displacement. Cataract Surgery and Its Complications. 1997;200-11.

  4. Kanski JJ. Clinical Ophthalmology: A Systematic Approach. 1989:257-8.

  5. Kumar A, Kumar V, Dapling RB. Traumatic cataract and intralenticular foreign body. Clin Experiment Ophthalmol. Dec 2005;33(6):660-1. [Medline].

  6. Kumar S, Panda A, Badhu BP, Das H. Safety of primary intraocular lens insertion in unilateral childhood traumatic cataract. JNMA J Nepal Med Assoc. Oct-Dec 2008;47(172):179-85. [Medline].

  7. Phillips PM, Shamie N, Chen ES, Terry MA. Transscleral sulcus fixation of a small-diameter iris-diaphragm intraocular lens in combined penetrating keratoplasty and cataract extraction for correction of traumatic cataract, aniridia, and corneal scarring. J Cataract Refract Surg. Dec 2008;34(12):2170-3. [Medline].

  8. Rofagha S, Day S, Winn BJ, Ou JI, Bhisitkul RB, Chiu CS. Spontaneous resolution of a traumatic cataract caused by an intralenticular foreign body. J Cataract Refract Surg. Jun 2008;34(6):1033-5. [Medline].

  9. Sarikkola AU, Sen HN, Uusitalo RJ, Laatikainen L. Traumatic cataract and other adverse events with the implantable contact lens. J Cataract Refract Surg. Mar 2005;31(3):511-24. [Medline].

  10. Schwab IR, et al. Anterior segment trauma. In: AAO Basic and Clinical Science Course. Section 8. 1997:285-6.

  11. Shingleton BJ, Hersh PS, Kenyon KR, et al. Lens injuries. In: Eye Trauma. 1991:126-34.

  12. Tasman W, Jaeger EA. Traumatic cataract. In: Duane's Clinical Ophthalmology. 1. 1997:13-4.

  13. Witherspoon CD, Kunh F, Morris R, et al. Anterior and posterior segment trauma. Master Techniques in Ophthalmic Surgery. 1995;538-47.

Further Reading

Keywords

traumatic cataract, traumatic cataracts, ocular trauma, blunt trauma, vision loss, visual deficit

Contributor Information and Disclosures

Author

Robert H Graham, MD, Senior Associate Consultant, Department of Ophthalmology, Mayo Clinic, Scottsdale, Arizona
Robert H Graham, MD is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, and Arizona Ophthalmological Society
Disclosure: WebMD/eMedicine Salary Employment

Coauthor(s)

Brian C Mulrooney, MD, Private Practice, Ophthalmology, Crestwood Hospital
Brian C Mulrooney, MD is a member of the following medical societies: American Academy of Ophthalmology
Disclosure: Nothing to disclose.

Medical Editor

Richard W Allinson, MD, Associate Professor, Department of Surgery, Texas A&M University Health Science Center; Senior Staff Ophthalmologist, Scott and White Clinic
Richard W Allinson, MD is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Simon K Law, MD, PharmD, Assistant Professor of Ophthalmology, Jules Stein Eye Institute; Chief of Section of Ophthalmology Surgical Services, Department of Veterans Affairs Healthcare Center, West Los Angeles
Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, American Glaucoma Society, and Association for Research in Vision and Ophthalmology
Disclosure: Nothing to disclose.

Managing Editor

J James Rowsey, MD, Former Director of Corneal Services, St Luke's Cataract and Laser Institute, Florida
J James Rowsey, MD is a member of the following medical societies: American Academy of Ophthalmology, American Association for the Advancement of Science, American Medical Association, Association for Research in Vision and Ophthalmology, Florida Medical Association, Pan-American Association of Ophthalmology, Sigma Xi, and Southern Medical Association
Disclosure: Nothing to disclose.

CME Editor

Lance L Brown, OD, MD, Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri
Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD, Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences
Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.