Incidence and risk factors for glaucoma after pediatric cataract surgery with and without intraocular lens implantation

Trivedi, Rupal H.; Wilson, M. Edward; Golub, Richard L.

doi:10.1016/j.ajo.2006.08.007

Cited by 47 publications

(93 citation statements)

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“…Trivedi et al 42 confirmed that the risk of developing glaucoma is greater for those undergoing surgery at an earlier age. All who developed glaucoma were 4.5 months or younger at surgery.…”

Section: Complicationsmentioning

confidence: 61%

Advances in the management of congenital and infantile cataract

Lloyd

Ashworth

Biswas

et al. 2007

Eye

115

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Section: Complicationsmentioning

confidence: 61%

Advances in the management of congenital and infantile cataract

Lloyd

Ashworth

Biswas

et al. 2007

Eye

115

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“…It is also known that children who undergo cataract surgery at an earlier age are at a high risk for the development of glaucoma leading to poor vision. 8 As purpose of our study was to evaluate preoperative factors influencing visual outcome, we did not include postoperative glaucoma as one of the variable in the model. The effects of amblyopia and glaucoma make a huge impact on visual development, and unfortunately their effects are often detrimental; this is reflected in our study.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Postoperative glaucoma patients also have lower rates of good visual acuity results. 7,8 The presence of systemic disorders have been associated with poor visual acuity in bilateral cases, reflecting additional causes of poor vision. 4 Many previous studies have included both unilateral and bilateral cataracts within the same study.…”

Section: Introductionmentioning

confidence: 99%

Visual acuity and its predictors after surgery for bilateral cataracts in children

Bonaparte

Trivedi

Ramakrishnan

et al. 2016

Eye

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Purpose The objective of this study was to investigate preoperative factors associated with postoperative visual acuity outcomes and to develop a model to predict visual acuity prognosis. Methods A retrospective study was conducted by reviewing clinical charts of pediatric patients who underwent bilateral cataract surgery by a single surgeon (MEW) at the Storm Eye Institute. A multiple logistic regression model was constructed to predict the odds of poor postoperative visual acuity, that is, worse than 20/40, based on age at surgery, gender, primary intraocular lens (IOL) placement, ethnicity, and preoperative nystagmus. Results A sample size of 157 children (314 eyes) was investigated with median duration of follow-up of 6.4 years. A total of 78% of children with bilateral cataract had postoperative visual acuity of 20/40 or better. The presence of preoperative nystagmus was highly correlated with poor postoperative visual acuity (OR = 6.0; 95% CLs, 2.5-14.1; P-valueo0.0001). Children of age o1 year at time of cataract extraction (OR = 3.2; 95% CLs, 1.4-7.6; P-value = 0.0073), male gender (OR = 2.3; 95% CLs, 1.1-4.5; P-value = 0.02), the absence of primary IOL placement (OR = 3.0; 95% CLs, 1.05-8.4; P-value = 0.04), and non-Caucasian ethnicity (OR = 2.0; 95% CLs, 1.02-4.03; P-value 0.0447) were associated with poor visual acuity postoperatively. Conclusions Satisfactory visual outcomes occurred in 78% of children operated on for bilateral cataracts. Preoperative nystagmus, age o1 year at time of cataract extraction, absence of primary IOL placement, male gender, and non-Caucasian ethnicity, were all factors associated with poor postoperative visual acuity.

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“…Various studies have found glaucoma to be observed in 10-25% of children after paediatric cataract surgery. [68][69][70][71][72][73][74][75] Early age at surgery and presence of microphthalmia are high risk factors. Trivedi et al8 have found the incidence of glaucoma to be comparable between pseudophakic and aphakic eyes.…”

Section: Post-operative Complicationsmentioning

confidence: 99%