{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T09:01:25Z","timestamp":1784624485790,"version":"3.55.0"},"reference-count":27,"publisher":"Knowledge E DMCC","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["knepublishing.com"],"crossmark-restriction":true},"short-container-title":["JOVR"],"abstract":"<jats:p>Purpose: Ocular trauma represents a considerable etiological factor for unilateral blindness, especially in developing countries. This research was conducted to examine the determinants influencing visual acuity after surgical intervention for traumatic cataracts. Methods: This retrospective study investigated individuals diagnosed with traumatic cataract who were referred and subsequently underwent surgical intervention in a tertiary hospital in Ahvaz, Iran, from June 2013 to October 2023. All patients were contacted, and a thorough ophthalmological evaluation was performed for each person. Visual acuity was assessed utilizing a range of techniques, including central, steady, maintained (CSM) fixation, LEA symbols, Teller acuity cards, and the Snellen chart. Data were analyzed using SPSS version 25.0, and a P-value &lt;0.05 was considered statistically significant. Results: A total of 64 eyes from 64 patients were included. The mean age was 25.5 \u00b1 22.0 years, and 71.9% were male. Open globe injuries accounted for 75% of cases, most (38%) of which were caused by sharp metal objects. Seventeen patients (26.6%) were under 7 years of age. Significant factors associated with final visual acuity included age (P = 0.021), injury type (P = 0.025), vitreous prolapse (P = 0.012), and size of rupture (r = 0.327, P = 0.024). Younger patients and those without vitreous prolapse had better visual outcomes. Conclusion: Age, injury type, vitreous involvement, and wound size were the main predictors of final visual acuity after traumatic cataract surgery. Comprehensive evaluation and timely surgical management may improve visual prognosis.<\/jats:p>","DOI":"10.18502\/jovr.v21.18169","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T08:15:36Z","timestamp":1784535336000},"page":"1-8","update-policy":"https:\/\/doi.org\/10.18502\/knecrossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Affecting Visual Outcome After Traumatic Cataract Surgery in a Tertiary Hospital in Ahvaz, Iran"],"prefix":"10.18502","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2040-9976","authenticated-orcid":false,"given":"Mahmoodreza","family":"Panahibazzaz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hani Saber","family":"Moghadam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasrin","family":"Masihpour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4545-1684","authenticated-orcid":false,"given":"Farshad","family":"Ostadian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elham","family":"Farhadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5083-9061","authenticated-orcid":false,"given":"Maryam","family":"Adabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5079-7239","authenticated-orcid":false,"given":"Sadid","family":"Hooshmandi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7770","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"337867","doi-asserted-by":"crossref","unstructured":"1. Khatry SK, Lewis AE, Schein OD, Thapa MD, Pradhan EK, Katz J. The epidemiology of ocular trauma in rural Nepal. Br J Ophthalmol 2004;88:456-460.","DOI":"10.1136\/bjo.2003.030700"},{"key":"337868","doi-asserted-by":"crossref","unstructured":"2. Alfaro DV 3rd, Jablon EP, Rodriguez Fontal M, Villalba SJ, Morris RE, Grossman M, et al. Fishing-related ocular trauma. Am J Ophthalmol 2005;139:488-492.","DOI":"10.1016\/j.ajo.2004.10.011"},{"key":"337869","doi-asserted-by":"crossref","unstructured":"3. Shah M, Shah S, Upadhyay P, Agrawal R. Controversies in traumatic cataract classification and management: A review. Can J Ophthalmol 2013;48:251-258.","DOI":"10.1016\/j.jcjo.2013.03.010"},{"key":"337870","doi-asserted-by":"crossref","unstructured":"4. Abraham DI, Vitale SI, West SI, Isseme I. Epidemiology of eye injuries in rural Tanzania. Ophthalmic Epidemiol 1999;6:85-94.","DOI":"10.1076\/opep.6.2.85.1560"},{"key":"337871","doi-asserted-by":"crossref","unstructured":"5. Shah MA, Shah SM, Shah SB, Patel CG, Patel UA. Morphology of traumatic cataract: Does it play a role in final visual outcome? BMJ Open 2011;1:e000060.","DOI":"10.1136\/bmjopen-2011-000060"},{"key":"337872","doi-asserted-by":"crossref","unstructured":"6. Rumelt S, Rehany U. The influence of surgery and intraocular lens implantation timing on visual outcome in traumatic cataract. Graefes Arch Clin Exp Ophthalmol 2010;248:1293-1297.","DOI":"10.1007\/s00417-010-1378-x"},{"key":"337873","doi-asserted-by":"crossref","unstructured":"7. Shah MA, Shah SM, Shah SB, Patel CG, Patel UA, Appleware A, et al. Comparative study of final visual outcome between open- and closed-globe injuries following surgical treatment of traumatic cataract. Graefes Arch Clin Exp Ophthalmol 2011;249:1775-1781.","DOI":"10.1007\/s00417-011-1732-7"},{"key":"337874","doi-asserted-by":"crossref","unstructured":"8. Shah M, Shah S, Shah S, Prasad V, Parikh A. Visual recovery and predictors of visual prognosis after managing traumatic cataracts in 555 patients. Indian J Ophthalmol 2011;59:217-222.","DOI":"10.4103\/0301-4738.81043"},{"key":"337875","doi-asserted-by":"crossref","unstructured":"9. Shah MA, Shah SM, Applewar A, Patel C, Patel K. Ocular trauma score as a predictor of final visual outcomes in traumatic cataract cases in pediatric patients. J Cataract Refract Surg 2012;38:959-965.","DOI":"10.1016\/j.jcrs.2011.12.032"},{"key":"337876","doi-asserted-by":"crossref","unstructured":"10. Reddy AK, Ray R, Yen KG. Surgical intervention for traumatic cataracts in children: Epidemiology, complications, and outcomes. J AAPOS 2009;13:170-174.","DOI":"10.1016\/j.jaapos.2008.10.015"},{"key":"337877","unstructured":"11. Xu YN, Huang YS, Xie LX. Pediatric traumatic cataract and surgery outcomes in eastern China: A hospitalbased study. Int J Ophthalmol 2013;6:160-164."},{"key":"337878","doi-asserted-by":"crossref","unstructured":"12. Thakur U, Taluja MK, Siddique P. Visual outcome of traumatic cataract at a tertiary eye care center. Natl J Physiol Pharm Pharmacol 2020;10:991-996.","DOI":"10.5455\/njppp.2020.10.07197202024072020"},{"key":"337879","doi-asserted-by":"crossref","unstructured":"13. Ishfaq Ahmad S, Aziz A, Junaid SW. Factors affecting visual outcome in traumatic cataract and its associated ocular injuries - A hospital based study. Int J Med Res Rev 2016;4.","DOI":"10.17511\/ijmrr.2016.i05.30"},{"key":"337880","doi-asserted-by":"crossref","unstructured":"14. Medsinge A, Nischal KK. Pediatric cataract: Challenges and future directions. Clin Ophthalmol 2015;9:77-90.","DOI":"10.2147\/OPTH.S59009"},{"key":"337881","doi-asserted-by":"crossref","unstructured":"15. \u00d6zbilen KT, Alt\u0131nkurt E. Impact of the possible prognostic factors for visual outcomes of traumatic cataract surgery. Int Ophthalmol 2020;40:3163-3173.","DOI":"10.1007\/s10792-020-01502-5"},{"key":"337882","doi-asserted-by":"crossref","unstructured":"16. Serna-Ojeda JC, Cordova-Cervantes J, Lopez-Salas M, Abdala-Figuerola AC, Jimenez-Corona A, Matiz-Moreno H, et al. Management of traumatic cataract in adults at a reference center in Mexico City. Int Ophthalmol 2015;35:451-458.","DOI":"10.1007\/s10792-014-9968-y"},{"key":"337883","doi-asserted-by":"crossref","unstructured":"17. Gurung G, Bajracharya K. Visual outcome of pediatric traumatic cataract in Lumbini Eye Institute, Bhairahawa, Nepal. Nepal J Ophthalmol 2020;12:17-24.","DOI":"10.3126\/nepjoph.v12i1.26343"},{"key":"337884","unstructured":"18. Synder A, Kobielska D, Omulecki W. [Intraocular lens implantation in traumatic cataract]. Klin Oczna 1999;101:343-346."},{"key":"337885","doi-asserted-by":"crossref","unstructured":"19. Gogate P, Sahasrabudhe M, Shah M, Patil S, Kulkarni A. Causes, epidemiology, and long-term outcome of traumatic cataracts in children in rural India. Indian J Ophthalmol 2012;60:481-486.","DOI":"10.4103\/0301-4738.100557"},{"key":"337886","doi-asserted-by":"crossref","unstructured":"20. Smith AR, O\u2019Hagan SB, Gole GA. Epidemiology of open- and closed-globe trauma presenting to Cairns Base Hospital, Queensland. Clin Exp Ophthalmol 2006;34:252-259.","DOI":"10.1111\/j.1442-9071.2006.01200.x"},{"key":"337887","doi-asserted-by":"crossref","unstructured":"21. Shah MA, Shah SM, Gosai SR, Gupta SS, Khanna RR, Patel KB, et al. Comparative study of visual outcomebetween open- and closed-globe injuries following surgical treatment of traumatic cataract in children. Eur J Ophthalmol 2018;28:406-411.","DOI":"10.1177\/1120672117747021"},{"key":"337888","doi-asserted-by":"crossref","unstructured":"22. G\u00fcnayd\u0131n NT, Oral AY. Pediatric traumatic cataracts: 10-year experience of a tertiary referral center. 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