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Secondary glaucoma after congenital cataract surgery
1Department of Ophthalmology Ondokuz Mayis University School of Medicine, Samsun, Turkey.
International Ophthalmology
|November 5, 1999
Summary
Congenital cataract surgery can lead to glaucoma, a serious complication. Regular eye exams are crucial for early detection and management of this postoperative glaucoma in children.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Glaucoma is a rare but significant complication following congenital cataract surgery.
- Early surgical intervention for congenital cataracts necessitates vigilance for potential long-term ocular morbidities.
Purpose of the Study:
- To review patients who developed glaucoma after congenital cataract surgery.
- To analyze the types, timing, and management of glaucoma post-pediatric cataract surgery.
Main Methods:
- Retrospective review of 87 eyes from 53 patients who underwent cataract surgery between 1982 and 1995.
- Analysis of patient records to identify glaucoma development, type, and time to diagnosis post-surgery.
Main Results:
- Open angle glaucoma (OAG) occurred in 17 eyes, chronic angle closure glaucoma (ACG) in six, and acute angle closure glaucoma (AACG) in two.
- Glaucoma diagnosis occurred an average of 6.08 years post-surgery, with varied times for OAG, ACG, and AACG.
- Medical management controlled intraocular pressure in 17/25 eyes; additional surgery was required for eight eyes.
Conclusions:
- Routine postoperative glaucoma screening is essential for children who have undergone congenital cataract surgery.
- Early detection and management can mitigate the impact of glaucoma on vision in this patient population.