Incidence and Risk Factors for Glaucoma After Pediatric Cataract Surgery With and Without Intraocular Lens Implantation

Incidence of early-onset glaucoma after infant cataract extraction with and without intraocular lens implantation

“…Other studies looking at infants cataract surgery reported a later onset generally, but they use criteria at IOP >25 mm Hg,6 11 base diagnosis on clinicians’ decision to treat without further detail4 or do not define any criteria 22. With a relatively low threshold of 21 mm Hg, and examination under anaesthesia being routinely performed when IOP measurement was not obtained in the clinic, our study is likely to detect most cases of glaucoma early.…”

“…Despite advances in congenital cataract management, glaucoma after surgery remains a challenging problem 1 2 3 4 5 6 7 8 9 10 11. Earlier surgery may give the best chance for visual rehabilitation but with a possible increased glaucoma risk.…”

“…Earlier surgery may give the best chance for visual rehabilitation but with a possible increased glaucoma risk. Primary intraocular lens (IOL) implantation has become increasingly common in infants, but studies implying that IOL implantation may be protective against glaucoma6 7 8 9 are likely flawed by the inclusion of all ages up to 18 years, with an IOL selection bias for the older age group. Multiple surgeons with varied surgical techniques may be a further confounding factor.…”

“…Despite numerous studies3 4 5 6 7 8 9 10 11 about aphakic/pseudophakic glaucoma, there is no consistent definition of glaucoma with intraocular pressure (IOP) threshold ranging from more than 21 mm Hg to ⩾26 mm Hg 3 5 6 7 8 9 11. Secondary ocular changes are only variably included in the diagnostic criteria,3 4 5 6 7 8 9 11 while others base their diagnosis on the decision of the ophthalmologist to treat without defining glaucoma 4 8 10.…”

“…Secondary ocular changes are only variably included in the diagnostic criteria,3 4 5 6 7 8 9 11 while others base their diagnosis on the decision of the ophthalmologist to treat without defining glaucoma 4 8 10. More recently, it has been suggested that aphakic glaucoma onset may be earlier than previously suggested 10…”