advertisement
Abstract #6782 Published in IGR 4-1
Glaucoma secondary to pars plana lensectomy for congenital cataract
Miyahara S; Amino K; Tanihara HGraefe's Archive for Clinical and Experimental Ophthalmology 2002; 240: 176-179
BACKGROUND: To identify risk factors related to the onset of secondary glaucoma in eyes that have undergone pars plana lensectomy for congenital cataract. METHODS: The authors investigated intraocular pressure (IOP) levels after pars plana lensectomy for congenital cataract in 80 eyes of 44 patients who were followed up for at least 36 months. Mean age at the time of pars plana lensectomy was 11 ± 18 months. Mean follow-up period was 116 ± 57 months. RESULTS: An elevation in IOP (>20 mmHg) was found in 21 eyes of 12 patients (26%). In seven of these 21 eyes, surgical treatment was required. The incidence of the coexistence of microcornea (or microphthalmos) with congenital cataract was significantly higher in the glaucoma group than in the nonglaucoma group. The final visual acuity in the nonglaucoma group was significantly better than that in the glaucoma group. CONCLUSIONS: These results show the importance of careful follow-up of IOP after pars plana lensectomy for congenital cataract, especially when microcornea (or microphthalmos) is present.
Dr. H. Tanihara, Department of Ophthalmology, Kumamoto University School of Medicine, 1-1-1 Honjo, Kumamoto 860-8556, Japan. tanihara@pearl.ocn.ne.jp
Classification:
9.4.4 Glaucomas associated with disorders of the lens (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
