Surgical outcomes in adult patients after repair of anterior segment trauma sustained during childhood

Purpose: To evaluate the outcomes and possible benefit of surgery performed on adults for anterior segment trauma sustained during childhood. Setting: Private practice, Methods:A retrospective review of patient records was performed. Adult pati ents who had anterior segment surgery for injuries that occurred during chi ldhood were identified. The surgical outcomes were evaluated to determine w hether intervention was beneficial in this subgroup of patients. Results: Six patients were identified. Preoperative best corrected visual a cuity (BCVA) was 20/200 or worse in all patients. After surgery, the BCVA i n 3 patients had improved to 20/30 or better and in 1 patient, to 20/60. Th e other 2 patients had less improvement; however, each noted subjective imp rovement in vision. No major intraoperative or postoperative complications occurred. Conclusions: In the absence of evidence of accompanying posterior segment t rauma, surgery in adults to correct anterior segment damage from childhood trauma was safe and often beneficial. J Cataract Refract Surg 2001; 27:256- 260 (C) 2001 ASCRS and ESCRS.