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Pediatric aphakic glaucoma.

S H Pressman, E R Crouch

    Annals of Ophthalmology
    |June 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Pediatric cataract surgery can lead to aphakic glaucoma, a serious complication requiring multiple surgeries and resulting in poor vision. Using specific surgical techniques may reduce the risk of this condition.

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    Area of Science:

    • Ophthalmology
    • Pediatric Surgery

    Background:

    • Congenital cataracts in children often require surgical intervention.
    • Extracapsular cataract extraction techniques like phacofragmentation or irrigation/aspiration are common.
    • Secondary complications can arise post-operatively, impacting visual outcomes.

    Observation:

    • Three pediatric cases of open-angle aphakic glaucoma are presented.
    • Glaucoma developed 6-25 months after cataract extraction.
    • All cases required secondary membranectomy and surgical glaucoma therapy.

    Findings:

    • Pediatric open-angle aphakic glaucoma is a severe complication following cataract surgery.
    • Poor visual outcomes (less than 20/400) were noted in affected eyes.
    • Trabecular meshwork damage from uveitis and lens remnants is the likely cause.

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    Implications:

    • Ophthalmologists should consider specific surgical techniques, including phacofragmentation and anterior vitrectomy, during pediatric cataract surgery.
    • These techniques may decrease the incidence of secondary membranes and glaucoma.
    • Awareness of this complication and diligent long-term patient follow-up are crucial.