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Mehul A Shah - One of the best experts on this subject based on the ideXlab platform.
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comparative study of visual outcome between open and closed globe injuries following surgical treatment of Traumatic Cataract in children
European Journal of Ophthalmology, 2018Co-Authors: Mehul A Shah, Shreya M Shah, Siddharth R Gosai, Satyam S Gupta, Raubaq R Khanna, Kashyap Patel, Chetan RathodAbstract:Objective:To compare final visual outcomes of surgically treated Traumatic Cataract between open-globe and closed-globe injuries in children, as classified by the Birmingham Eye Trauma Terminology ...
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controversies in Traumatic Cataract classification and management a review
Canadian Journal of Ophthalmology-journal Canadien D Ophtalmologie, 2013Co-Authors: Mehul A Shah, Shreya M Shah, Pramod Upadhyay, Rupesh AgrawalAbstract:Traumatic Cataract is one of the important causes of blindness after ocular trauma, either open or close globe. Visual outcome is unpredictable because it is not only lens that decides visual outcome. There is no standard classification, investigation, or treatment guidelines for the same. There are controversies regarding predictive models. We would like to highlight these controversies and try to reach certain guidelines that may help clinicians to manage Traumatic Cataracts.
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ocular trauma score a useful predictor of visual outcome at six weeks in patients with Traumatic Cataract
Ophthalmology, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Adway Applewar, Chintan Patel, Shashank B Shah, Utsav A PatelAbstract:Objective To validate the predictive value of the Ocular Trauma Score (OTS) in injury cases with Traumatic Cataracts. Design Retrospective cohort study. Participants A total of 787 eyes. Methods A total of 787 eyes of 787 subjects with Traumatic Cataracts were enrolled using specific inclusion criteria. The eyes were examined to review comorbidities caused by trauma. Surgery was performed for Traumatic Cataracts, lenses were implanted, and patients were treated for amblyopia, as applicable. The patients were reexamined 6 weeks postoperatively. On the basis of ocular trauma described according to the Birmingham Eye Trauma Terminology System, the patients were divided into 2 Traumatic Cataract groups: open globe injury and closed globe injury. The relationship of visual acuity (VA) with demographic and clinical variables was analyzed. The visual outcomes were predicted using the OTS, and the predictions were compared with the actual outcomes using statistical tests. Main Outcome Measures Visual acuity. Results At 6 weeks postoperatively, 245 eyes (31%) had a VA ≥20/40 and 480 eyes (61.0%) had a VA >20/200. The OTS prediction was not significantly different when compared with actual visual outcome at 6 weeks postoperatively in all OTS categories. Conclusions The relationship of VA at 6 weeks with demographic and clinical variables was analyzed. In this study, the OTS was found as a reliable tool to predict visual outcome in cases of Traumatic Cataracts 6 weeks postoperatively. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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ocular trauma score as a predictor of final visual outcomes in Traumatic Cataract cases in pediatric patients
Journal of Cataract and Refractive Surgery, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Adway Applewar, Chintan Patel, Krunal D PatelAbstract:Purpose To validate the predictive value of the Ocular Trauma Score (OTS) in children with Traumatic Cataract. Design Retrospective cohort study. Setting Tertiary eye care center at nexus of Gujarat, Madhya Pradesh, and Rajasthan states, central Western India. Methods After meeting inclusion criteria, eyes with Traumatic Cataract were enrolled and examined to review comorbidities caused by trauma. Surgery was performed for Traumatic Cataract, intraocular lenses were implanted, and patients were treated for amblyopia, as applicable. Patients were reexamined 6 weeks postoperatively. Based on ocular trauma described according to the Birmingham Eye Trauma Terminology System, the patients were divided into 2 Traumatic Cataract groups: open-globe injury and closed-globe injury. The relationship between final corrected distance visual acuity (CDVA) and demographic and clinical variables was analyzed. Visual outcomes were predicted using the OTS, and the predictions were compared with actual outcomes using statistical tests. Results The study enrolled 354 children. Six weeks postoperatively, the CDVA was better than 20/200 in 181 eyes (63.0%) and 20/40 or better in 110 eyes (38.4%) in the open-globe group and better than 20/200 in 36 eyes (53%) and 20/40 or better in 15 eyes (22.4%) in the closed-globe group. The differences between the groups were not significant (P=.143). Of all eyes, 214 (61.3%) achieved a final CDVA of better than 20/200 and 123 eyes (35.3%), of 20/40 or better. Conclusion The OTS was a reliable predictor of the final visual outcome in cases of pediatric Traumatic Cataract. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.
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visual outcome of Traumatic Cataract in pediatric age group
European Journal of Ophthalmology, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Krunal D Patel, Adway H Appleware, Rukhsana M Rehman, Khushboo A ShikhangeAbstract:Purpose. To review results of Traumatic Cataracts in children. Methods. This is a retrospective cohort study done at a tertiary eye care center at the junction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. We enrolled children with specific inclusion criteria, examined their eyes to review the comorbidities due to trauma, performed surgery for Traumatic Cataracts, and implanted a lens, treating amblyopia if applicable. The patients were re-examined 6 weeks postoperatively. We divided the Traumatic Cataract cases into open-globe (group 1) and closed-globe (group 2) groups according to the ocular trauma based on the Birmingham Eye Trauma Terminology System and compared the determinants of visual acuity. Result. Our cohort of 354 eyes with Traumatic Cataracts in children included 287 eyes in group 1 and 67 in group 2. Six weeks postoperatively, the visual acuity in the operated eye was >20/200 in 181 (63%) and =20/40 in 109 (38%) eyes in the open-globe group and >20/200 in 36 (53%) and =20/40 in 16 (22.4%) eyes in the closed-globe group (p = 0.143), and the difference between the groups was not significant in children. Overall, 125 (35.3%) eyes gained a visual acuity at 6 weeks of =20/40 and >20/200 in 214 (61.3%) cases. Conclusions. Satisfactory visual outcome can be achieved in children with Traumatic Cataracts, with no significant difference found among open- and closed-globe injuries in the pediatric age group. Language: en
Utsav A Patel - One of the best experts on this subject based on the ideXlab platform.
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ocular trauma score a useful predictor of visual outcome at six weeks in patients with Traumatic Cataract
Ophthalmology, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Adway Applewar, Chintan Patel, Shashank B Shah, Utsav A PatelAbstract:Objective To validate the predictive value of the Ocular Trauma Score (OTS) in injury cases with Traumatic Cataracts. Design Retrospective cohort study. Participants A total of 787 eyes. Methods A total of 787 eyes of 787 subjects with Traumatic Cataracts were enrolled using specific inclusion criteria. The eyes were examined to review comorbidities caused by trauma. Surgery was performed for Traumatic Cataracts, lenses were implanted, and patients were treated for amblyopia, as applicable. The patients were reexamined 6 weeks postoperatively. On the basis of ocular trauma described according to the Birmingham Eye Trauma Terminology System, the patients were divided into 2 Traumatic Cataract groups: open globe injury and closed globe injury. The relationship of visual acuity (VA) with demographic and clinical variables was analyzed. The visual outcomes were predicted using the OTS, and the predictions were compared with the actual outcomes using statistical tests. Main Outcome Measures Visual acuity. Results At 6 weeks postoperatively, 245 eyes (31%) had a VA ≥20/40 and 480 eyes (61.0%) had a VA >20/200. The OTS prediction was not significantly different when compared with actual visual outcome at 6 weeks postoperatively in all OTS categories. Conclusions The relationship of VA at 6 weeks with demographic and clinical variables was analyzed. In this study, the OTS was found as a reliable tool to predict visual outcome in cases of Traumatic Cataracts 6 weeks postoperatively. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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comparative study of final visual outcome between open and closed globe injuries following surgical treatment of Traumatic Cataract
Graefes Archive for Clinical and Experimental Ophthalmology, 2011Co-Authors: Mehul A Shah, Shreya M Shah, Chintan Patel, Shashank B Shah, Utsav A Patel, Adway H Appleware, Ashish GuptaAbstract:Objective The objective of this work is to compare final visual outcomes in cases of surgically treated Traumatic Cataract between open-globe and closed-globe groups, as classified by the Birmingham Eye Trauma Terminology system.
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effect of interval between time of injury and timing of intervention on final visual outcome in cases of Traumatic Cataract
European Journal of Ophthalmology, 2011Co-Authors: Mehul A Shah, Shreya M Shah, Shashank B Shah, Utsav A PatelAbstract:Purpose. There are no clear guidelines to treat Traumatic Cataract. This study was conducted to provide evidence-based care to patients with Traumatic Cataracts and to examine the effect of the time interval between injury and the first intervention on the final visual outcome. Methods. In a prospective cohort study, all patients presenting to our hospital with Traumatic Cataracts between January 2003 and December 2009 were enrolled. Information regarding demographics and ocular trauma was collected on the pretested World Eye Trauma Registry form for both the first and follow-up visits. In particular, we collected specific information on the time interval between the injury and intervention. The relationship between this time interval and the final visual outcome was analyzed. The study was conducted at a tertiary eye care center, in Dahod, at the junction of Gujarat, Madhya Pradesh, and Rajasthan states, in central western India. Results. The time interval between the injury and first intervention had a significant effect on the final visual outcome (p = 0.02, ?2 test). Conclusions. The morphology of Traumatic Cataracts plays an important role in determining the appropriate surgical technique and the final visual outcome. Language: en
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morphology of Traumatic Cataract does it play a role in final visual outcome
BMJ Open, 2011Co-Authors: Mehul A Shah, Shreya M Shah, Chintan Patel, Shashank B Shah, Utsav A PatelAbstract:Aim To study the morphology of Traumatic Cataract as an important predictor for final visual outcome after treatment of Traumatic Cataracts. Setting Tertiary eye care centre in Dahod at the trijunction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. Methods This was a prospective observational cohort study among all patients presenting at the hospital with Traumatic Cataracts between January 2003 and December 2009. All information regarding demographic and ocular trauma was collected on a pretested World Eye Trauma Registry form for both the first visit and follow-up. In particular, the authors collected specific information about the morphology of Traumatic Cataracts; the surgical technique was determined accordingly. Data were entered and analysed with regard to the relationship between type of trauma and resulting injury, results achieved with particular surgical techniques, and the relationship between morphology and final visual outcome. Outcome measures Final visual outcome. Results Traumatic Cataracts of different morphologies showed significant differences in the final visual outcome (χ 2 test, p=0.014). Conclusion The morphology of Traumatic Cataract plays an important role in the final visual outcome.
Shreya M Shah - One of the best experts on this subject based on the ideXlab platform.
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comparative study of visual outcome between open and closed globe injuries following surgical treatment of Traumatic Cataract in children
European Journal of Ophthalmology, 2018Co-Authors: Mehul A Shah, Shreya M Shah, Siddharth R Gosai, Satyam S Gupta, Raubaq R Khanna, Kashyap Patel, Chetan RathodAbstract:Objective:To compare final visual outcomes of surgically treated Traumatic Cataract between open-globe and closed-globe injuries in children, as classified by the Birmingham Eye Trauma Terminology ...
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controversies in Traumatic Cataract classification and management a review
Canadian Journal of Ophthalmology-journal Canadien D Ophtalmologie, 2013Co-Authors: Mehul A Shah, Shreya M Shah, Pramod Upadhyay, Rupesh AgrawalAbstract:Traumatic Cataract is one of the important causes of blindness after ocular trauma, either open or close globe. Visual outcome is unpredictable because it is not only lens that decides visual outcome. There is no standard classification, investigation, or treatment guidelines for the same. There are controversies regarding predictive models. We would like to highlight these controversies and try to reach certain guidelines that may help clinicians to manage Traumatic Cataracts.
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ocular trauma score a useful predictor of visual outcome at six weeks in patients with Traumatic Cataract
Ophthalmology, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Adway Applewar, Chintan Patel, Shashank B Shah, Utsav A PatelAbstract:Objective To validate the predictive value of the Ocular Trauma Score (OTS) in injury cases with Traumatic Cataracts. Design Retrospective cohort study. Participants A total of 787 eyes. Methods A total of 787 eyes of 787 subjects with Traumatic Cataracts were enrolled using specific inclusion criteria. The eyes were examined to review comorbidities caused by trauma. Surgery was performed for Traumatic Cataracts, lenses were implanted, and patients were treated for amblyopia, as applicable. The patients were reexamined 6 weeks postoperatively. On the basis of ocular trauma described according to the Birmingham Eye Trauma Terminology System, the patients were divided into 2 Traumatic Cataract groups: open globe injury and closed globe injury. The relationship of visual acuity (VA) with demographic and clinical variables was analyzed. The visual outcomes were predicted using the OTS, and the predictions were compared with the actual outcomes using statistical tests. Main Outcome Measures Visual acuity. Results At 6 weeks postoperatively, 245 eyes (31%) had a VA ≥20/40 and 480 eyes (61.0%) had a VA >20/200. The OTS prediction was not significantly different when compared with actual visual outcome at 6 weeks postoperatively in all OTS categories. Conclusions The relationship of VA at 6 weeks with demographic and clinical variables was analyzed. In this study, the OTS was found as a reliable tool to predict visual outcome in cases of Traumatic Cataracts 6 weeks postoperatively. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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ocular trauma score as a predictor of final visual outcomes in Traumatic Cataract cases in pediatric patients
Journal of Cataract and Refractive Surgery, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Adway Applewar, Chintan Patel, Krunal D PatelAbstract:Purpose To validate the predictive value of the Ocular Trauma Score (OTS) in children with Traumatic Cataract. Design Retrospective cohort study. Setting Tertiary eye care center at nexus of Gujarat, Madhya Pradesh, and Rajasthan states, central Western India. Methods After meeting inclusion criteria, eyes with Traumatic Cataract were enrolled and examined to review comorbidities caused by trauma. Surgery was performed for Traumatic Cataract, intraocular lenses were implanted, and patients were treated for amblyopia, as applicable. Patients were reexamined 6 weeks postoperatively. Based on ocular trauma described according to the Birmingham Eye Trauma Terminology System, the patients were divided into 2 Traumatic Cataract groups: open-globe injury and closed-globe injury. The relationship between final corrected distance visual acuity (CDVA) and demographic and clinical variables was analyzed. Visual outcomes were predicted using the OTS, and the predictions were compared with actual outcomes using statistical tests. Results The study enrolled 354 children. Six weeks postoperatively, the CDVA was better than 20/200 in 181 eyes (63.0%) and 20/40 or better in 110 eyes (38.4%) in the open-globe group and better than 20/200 in 36 eyes (53%) and 20/40 or better in 15 eyes (22.4%) in the closed-globe group. The differences between the groups were not significant (P=.143). Of all eyes, 214 (61.3%) achieved a final CDVA of better than 20/200 and 123 eyes (35.3%), of 20/40 or better. Conclusion The OTS was a reliable predictor of the final visual outcome in cases of pediatric Traumatic Cataract. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.
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visual outcome of Traumatic Cataract in pediatric age group
European Journal of Ophthalmology, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Krunal D Patel, Adway H Appleware, Rukhsana M Rehman, Khushboo A ShikhangeAbstract:Purpose. To review results of Traumatic Cataracts in children. Methods. This is a retrospective cohort study done at a tertiary eye care center at the junction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. We enrolled children with specific inclusion criteria, examined their eyes to review the comorbidities due to trauma, performed surgery for Traumatic Cataracts, and implanted a lens, treating amblyopia if applicable. The patients were re-examined 6 weeks postoperatively. We divided the Traumatic Cataract cases into open-globe (group 1) and closed-globe (group 2) groups according to the ocular trauma based on the Birmingham Eye Trauma Terminology System and compared the determinants of visual acuity. Result. Our cohort of 354 eyes with Traumatic Cataracts in children included 287 eyes in group 1 and 67 in group 2. Six weeks postoperatively, the visual acuity in the operated eye was >20/200 in 181 (63%) and =20/40 in 109 (38%) eyes in the open-globe group and >20/200 in 36 (53%) and =20/40 in 16 (22.4%) eyes in the closed-globe group (p = 0.143), and the difference between the groups was not significant in children. Overall, 125 (35.3%) eyes gained a visual acuity at 6 weeks of =20/40 and >20/200 in 214 (61.3%) cases. Conclusions. Satisfactory visual outcome can be achieved in children with Traumatic Cataracts, with no significant difference found among open- and closed-globe injuries in the pediatric age group. Language: en
C M Andreoli - One of the best experts on this subject based on the ideXlab platform.
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characteristics of Traumatic Cataract wound dehiscence
American Journal of Ophthalmology, 2011Co-Authors: Carolyn E Kloek, Michael T Andreoli, C M AndreoliAbstract:Purpose To characterize the clinical course of Cataract wound dehiscence. Design Retrospective, comparative case series. Methods Charts of open globe injuries (848 injuries in 846 patients) treated surgically at the Massachusetts Eye and Ear Infirmary between 2000 and 2009 were retrospectively reviewed. Time from original surgery to wound dehiscence, type of initial surgery, Ocular Trauma Score, age, gender, mechanism of injury, and visual acuity were analyzed. Results Of 846 patients with 848 open globe injuries, 63 experienced Cataract wound dehiscence. The majority of these Cataract wounds (89%) were extracapsular Cataract extraction (ECCE), with only 7 (11%) phacoemulsification wounds. The mean patient age in the wound rupture group was 78.2 years. Female patients comprised the majority (67%) of this subpopulation. The most common mechanisms of injury were fall (65%), blunt trauma (23%), and motor vehicle accident (7%). The median raw ocular trauma score was 47 in wound dehiscence patients. Visual acuity at presentation was light perception in the wound dehiscence group. The best postoperative visual acuity was significantly worse in the wound dehiscence group (hand motion) than in the remaining patients (20/40; P = .0002). When considering the phacoemulsification patients alone, these patients fared much better, with a median postoperative vision of 20/60. Conclusions Despite recent advances in Cataract surgery, wound dehiscence remains a significant source of visual disability, mainly in the geriatric population. Rupture ECCE wound patients have a poor visual prognosis. Fortunately, patients with phacoemulsification site dehiscence appear to regain the majority of their vision after open globe repair
Chintan Patel - One of the best experts on this subject based on the ideXlab platform.
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ocular trauma score a useful predictor of visual outcome at six weeks in patients with Traumatic Cataract
Ophthalmology, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Adway Applewar, Chintan Patel, Shashank B Shah, Utsav A PatelAbstract:Objective To validate the predictive value of the Ocular Trauma Score (OTS) in injury cases with Traumatic Cataracts. Design Retrospective cohort study. Participants A total of 787 eyes. Methods A total of 787 eyes of 787 subjects with Traumatic Cataracts were enrolled using specific inclusion criteria. The eyes were examined to review comorbidities caused by trauma. Surgery was performed for Traumatic Cataracts, lenses were implanted, and patients were treated for amblyopia, as applicable. The patients were reexamined 6 weeks postoperatively. On the basis of ocular trauma described according to the Birmingham Eye Trauma Terminology System, the patients were divided into 2 Traumatic Cataract groups: open globe injury and closed globe injury. The relationship of visual acuity (VA) with demographic and clinical variables was analyzed. The visual outcomes were predicted using the OTS, and the predictions were compared with the actual outcomes using statistical tests. Main Outcome Measures Visual acuity. Results At 6 weeks postoperatively, 245 eyes (31%) had a VA ≥20/40 and 480 eyes (61.0%) had a VA >20/200. The OTS prediction was not significantly different when compared with actual visual outcome at 6 weeks postoperatively in all OTS categories. Conclusions The relationship of VA at 6 weeks with demographic and clinical variables was analyzed. In this study, the OTS was found as a reliable tool to predict visual outcome in cases of Traumatic Cataracts 6 weeks postoperatively. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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ocular trauma score as a predictor of final visual outcomes in Traumatic Cataract cases in pediatric patients
Journal of Cataract and Refractive Surgery, 2012Co-Authors: Mehul A Shah, Shreya M Shah, Adway Applewar, Chintan Patel, Krunal D PatelAbstract:Purpose To validate the predictive value of the Ocular Trauma Score (OTS) in children with Traumatic Cataract. Design Retrospective cohort study. Setting Tertiary eye care center at nexus of Gujarat, Madhya Pradesh, and Rajasthan states, central Western India. Methods After meeting inclusion criteria, eyes with Traumatic Cataract were enrolled and examined to review comorbidities caused by trauma. Surgery was performed for Traumatic Cataract, intraocular lenses were implanted, and patients were treated for amblyopia, as applicable. Patients were reexamined 6 weeks postoperatively. Based on ocular trauma described according to the Birmingham Eye Trauma Terminology System, the patients were divided into 2 Traumatic Cataract groups: open-globe injury and closed-globe injury. The relationship between final corrected distance visual acuity (CDVA) and demographic and clinical variables was analyzed. Visual outcomes were predicted using the OTS, and the predictions were compared with actual outcomes using statistical tests. Results The study enrolled 354 children. Six weeks postoperatively, the CDVA was better than 20/200 in 181 eyes (63.0%) and 20/40 or better in 110 eyes (38.4%) in the open-globe group and better than 20/200 in 36 eyes (53%) and 20/40 or better in 15 eyes (22.4%) in the closed-globe group. The differences between the groups were not significant (P=.143). Of all eyes, 214 (61.3%) achieved a final CDVA of better than 20/200 and 123 eyes (35.3%), of 20/40 or better. Conclusion The OTS was a reliable predictor of the final visual outcome in cases of pediatric Traumatic Cataract. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.
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comparative study of final visual outcome between open and closed globe injuries following surgical treatment of Traumatic Cataract
Graefes Archive for Clinical and Experimental Ophthalmology, 2011Co-Authors: Mehul A Shah, Shreya M Shah, Chintan Patel, Shashank B Shah, Utsav A Patel, Adway H Appleware, Ashish GuptaAbstract:Objective The objective of this work is to compare final visual outcomes in cases of surgically treated Traumatic Cataract between open-globe and closed-globe groups, as classified by the Birmingham Eye Trauma Terminology system.
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morphology of Traumatic Cataract does it play a role in final visual outcome
BMJ Open, 2011Co-Authors: Mehul A Shah, Shreya M Shah, Chintan Patel, Shashank B Shah, Utsav A PatelAbstract:Aim To study the morphology of Traumatic Cataract as an important predictor for final visual outcome after treatment of Traumatic Cataracts. Setting Tertiary eye care centre in Dahod at the trijunction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. Methods This was a prospective observational cohort study among all patients presenting at the hospital with Traumatic Cataracts between January 2003 and December 2009. All information regarding demographic and ocular trauma was collected on a pretested World Eye Trauma Registry form for both the first visit and follow-up. In particular, the authors collected specific information about the morphology of Traumatic Cataracts; the surgical technique was determined accordingly. Data were entered and analysed with regard to the relationship between type of trauma and resulting injury, results achieved with particular surgical techniques, and the relationship between morphology and final visual outcome. Outcome measures Final visual outcome. Results Traumatic Cataracts of different morphologies showed significant differences in the final visual outcome (χ 2 test, p=0.014). Conclusion The morphology of Traumatic Cataract plays an important role in the final visual outcome.
