advertisement
Abstract #14995 Published in IGR 8-4
Risk factors for the development of aphakic glaucoma after congenital cataract surgery
Chen TC; Bhatia LS; Halpern EF; Walton DSJournal of Pediatric Ophthalmology & Strabismus 2006; 43: 274-80; quiz 306-307
BACKGROUND: It is well-known that lensectomy surgery during the first year of life increases one's risk of aphakic glaucoma. However, it is controversial whether there is a specific time period during the first year of life after which performing lensectomy surgery has a lower risk of aphakic glaucoma development. PATIENTS AND METHODS: A retrospective chart review was performed of all patients seen by a pediatric glaucoma specialist from 1970 to 2003. Patients were included in the study if they underwent congenital cataract surgery. Cataracts were defined as congenital if they were identified within the first 6 months of life, were dominantly inherited, or were of the lamellar type. Aphakic glaucoma was defined as having repeated intraocular pressures > 25 mmHg after congenital cataract surgery. Patients were excluded if they had any conditions that were independently associated with glaucoma. RESULTS: A total of 368 eyes of 258 patients were included in the study. Of these, 216 (58.7%) eyes of 150 patients developed aphakic glaucoma. Risk factors of greatest significance (P < .0001) included having lensectomy within the first year of life and the development of postoperative complications. CONCLUSIONS: No specific age for lensectomy during the first year of life was associated with a decreased risk for development of aphakic glaucoma. Surgery for congenital cataracts should not be delayed if the only reason for delay is to prevent the development of aphakic glaucoma.
Dr. T.C. Chen, Glaucoma Service, Massachusetts Eye and Ear Infirmary and Harvard Medical School Boston, Massachusetts 02114, USA
Classification:
9.4.4.2 Glaucomas associated with cataracts (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
12.12 Cataract extraction (Part of: 12 Surgical treatment)
