Elevated intraocular pressure in paediatric cataract surgery in a reference centre
S Mediero1, J Peralta Calvo1, N Pastora Salvador1
1Departamento de Oftalmología, Hospital Universitario La Paz, Madrid, España.
Archivos De La Sociedad Espanola De Oftalmologia
|June 22, 2019
Summary
Elevated postoperative intraocular pressure (PIOP) is common after pediatric cataract surgery, especially in bilateral cases and younger infants. This condition is linked to poorer visual outcomes and occurs more frequently without intraocular lens implantation.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Pediatric cataract surgery presents unique challenges regarding intraocular pressure management.
- Elevated postoperative intraocular pressure (PIOP) is a significant concern following these procedures.
Purpose of the Study:
- To investigate the incidence and characteristics of elevated postoperative intraocular pressure (PIOP) in pediatric cataract surgery.
- To compare findings with existing global literature.
Main Methods:
- Retrospective observational study of 99 patients (142 eyes) undergoing pediatric cataract surgery between 2000 and 2008.
- Data collected from clinical records.
Main Results:
- A PIOP of ≥20mmHg was observed in 20.4% of eyes over a 5-year follow-up.
- Higher PIOP rates were noted in eyes with bilateral cataracts (79.3%) compared to unilateral (20.7%).
- Surgery before one month of age (50%) showed higher PIOP rates than surgery after one month (17.2%).
- PIOP ≥20mmHg was associated with lower best-corrected visual acuity at 5 years (P=.020).
- Eyes without intraocular lenses had higher PIOP rates (69%) than those with lenses (31%).
Conclusions:
- Elevated PIOP is a notable complication of pediatric cataract surgery.
- PIOP elevation is more prevalent in bilateral cataracts and aphakic eyes.
- Early cataract surgery (before one month) is linked to increased PIOP.
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