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Abstract #26786 Published in IGR 12-3
Lack of glaucoma following infantile cataract surgery with primary posterior chamber intraocular lens implantation
Khan AO; Al-Dahmash SOphthalmic Surgery Lasers and Imaging 2010; 41: 459-462
BACKGROUND AND OBJECTIVE: To determine the incidence of glaucoma following infantile cataract surgery with primary posterior chamber lens (PC-IOL) implantation for isolated non-traumatic cataract. PATIENTS AND METHODS: Retrospective institutional medical RECORD review. RESULTS: Thirty-six eyes of 31 patients were identified. Small incision surgery (including posterior capsulotomy and anterior vitrectomy) was performed at a mean age of 7.6 months (median: 7 months; range: 5 to 10 months) with in-the-bag PC-IOL placement in 27 eyes and sulcus PC-IOL placement in 9 eyes. Last follow-up examination was a mean 67.1 months postoperatively (median: 65 months; range: 60 to 84 months). No eye was diagnosed as having glaucoma. In a similar population (same methods, age range, and ethnic group) that was left aphakic, the incidence of glaucoma was 22 of 57 eyes (38.6%). CONCLUSION: Primary PC-IOL implantation may confer protection against delayed-onset glaucoma following cataract surgery between 5 and 10 months of age.
A. O. Khan. King Khaled Eye Specialist Hospital, P. O. Box 7191, Riyadh 11642, Saudi Arabia.
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)
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
