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Abstract #15484 Published in IGR 1-3
Secondary glaucoma after congenital cataract surgery
Ariturk N; Oge I; Mohajery F; Erkan D; Turkoglu SInternational Ophthalmology 1999; 22: 175-180
PURPOSE: Glaucoma has been recognized as an infrequent but serious complication following surgery for congenital cataract in childhood. The authors conducted a retrospective review of patients in whom glaucoma had developed after surgery for congenital cataract. METHODS: The authors reviewed the records of 87 eyes of 53 patients on whom cataract surgery had been performed between February 1982 and March 1995 at Ondokuz Mayis University Hospital, Samsun. RESULTS: The average postoperative follow-up was 4.5 years (range, 1-12 years). The authors identified open angle glaucoma (OAG) in 17 eyes, chronic angle closure glaucoma (ACG) in six eyes, and acute angle closure glaucoma (AACG) in two eyes. The average time between cataract surgery and the diagnosis of glaucoma was 6.08 years (range, 1 week to 10 years). The mean time to diagnosis of glaucoma was 4.7 years (range, 4 months to 10 years) for OAG, 4.3 years (range, 1-8 years) for ACG and, for AACG, seven days and ten months following surgery. Medication alone was successful in intraocular pressure control in 17 of 25 eyes ( < 21 mmHg), and additional surgical procedures resulted in intraocular pressure control in eight eyes in which they were performed. CONCLUSION: Patients undergoing cataract surgery early in life should be routinely examined for possible postoperative glaucoma.
Dr. N. Ariturk, Ondokuz Mayis University Tip Fakultesi, Goz Hastaliklari Anabilim Dali, 55139 Kurupelit-Samsun; Turkey
Classification:
9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)