AIM: To observe the efficacy of 25G vitrectomy for traumatic cataract.

METHODS: Retrospective analysis of 70 cases(70 eyes)of traumatic cataract treated by 25G vitrectomy with lensectomy from February 2013 to February 2015 in our hospital was made for the study. In the patients, there were 43 males(43 eyes), 27 females(27 eyes), aged from 22-51 years old with an average of 35.23±2.54 years, mean visual acuity was 0.10±0.03. They were all followed up for 6-12mo postoperatively. Anterior segment, fundus, complications, best corrected visual acuity(BCVA)and intraocular pressure were observed during the follow-up. BCVA preoperatively, 1wk postoperatively, 1mo postoperatively, 6mo postoperatively were compared.

RESULTS: All the patients underwent the surgery successfully, and visual acuity improved at different degrees. The differences of BCVA preoperatively compared with 1 and 6m postoperatively were all statistically significant(P<0.05). Postoperative complications: 5 cases with corneal edema, 10 cases with ocular hypertension, 4 cases with ocular hypotension, 5 cases with retinal spotting. The symptoms improved after symptomatic and supportive treatment.

CONCLUSION: 25G vitrectomy with lensectomy is effective on treating traumatic cataract, with decreased operation risk, complications and improved visual acuity.