Operativni pristup perforativnoj povrjedi oka s traumatskom kataraktom kod djece-prikaz slučaja

The aim of this work is to show our experiences in eye injury care in children. The case involved a 24-hour-old eye injury with traumatic cataract. Immediately after having been admitted in hospital, surgery was performed, under complete anaesthesia, using the phacoemulsification method by implanting an IOL in the posterior chamber. The postoperative development was regular. The sight definition, after the first day of surgery, was 0.4 accompanied by normal intraocular pressure without pathological changes in the posterior eye segment. Two months later, the sight definition was 0.8, with the presence of iridolental synechia (iris-IOL) and pupil irregularity. We decided to perform surgery once more to correct the pupil and prevent secondary glaucoma development. After corneal paracentesis, pupil synechiosis was performed with an iris manipulator and the pupil in central projection. The postoperative period was regular with 0.8 sight definition in the first post-operative week, and 0.9 and 1.0 three months following surgery. The patient's sight definition prognosis was good and control tests were regular, due to the possibility of posterior lens capsule opacification and eventual secondary glaucoma. Eye injuries relate to serious injuries, due to the unpredictability of trauma consequences. Child eye injuries are a particular problem, considering the socioeconomic aspect that determines their future importance. The surgical approach in child injury care is frequently individual, and it depends on the experience and skill of the surgeon himself.