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Prevalence of Glaucoma Following Paediatric Cataract Surgery in an Australian Tertiary Referral Centre

Alanna Wood1,2, Benjamin Lim2, Jim Matthews3

  • 1Save Sight Institute, Discipline of Clinical Ophthalmology and Eye Health, Faculty of Medicine and Health, Sydney, NSW, Australia.

Clinical Ophthalmology (Auckland, N.Z.)
|August 7, 2023
PubMed

Insights

Secondary glaucoma is a common complication after childhood cataract surgery. Microcornea was identified as a significant risk factor for developing this condition in pediatric patients.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Glaucoma Research

Background:

  • Secondary glaucoma is the most frequent complication following pediatric cataract surgery.
  • Understanding its incidence and risk factors is crucial for managing long-term outcomes in children.

Purpose of the Study:

  • To determine the incidence of secondary glaucoma after childhood cataract surgery.
  • To identify the time to progression and associated risk factors for secondary glaucoma in pediatric patients.
  • To analyze outcomes including glaucoma development and time to onset post-surgery.

Main Methods:

  • A retrospective case series was conducted from 2003-2017 at a tertiary children's hospital.
  • Included patients were 16 years or younger undergoing congenital cataract extraction.
  • Multivariate Cox Regression analysis was used to identify risk factors.

Main Results:

  • Secondary glaucoma developed in 11.9% of eyes studied (320 eyes in 216 patients).
  • The average time to onset of secondary glaucoma was 3.2 years post-surgery.
  • Microcornea was the only factor significantly associated with increased secondary glaucoma risk (HR 6.30, p=0.003).

Conclusions:

  • Glaucoma remains a significant long-term complication in children after cataract surgery.
  • Early identification and monitoring of risk factors like microcornea are essential.
  • Despite advancements, proactive management is key to mitigating this complication.
Abstract

Keywords:
childhood cataract surgeryglaucoma following cataract surgerypaediatricsecondary glaucoma

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