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¹M.D., Beyoğlu Eye Training and Research Hospital, İstanbul/TURKEY
²M.D. Associate Professor, Specialist İstanbul/TURKEY
³M.D., Yalova State Hospital, Eye Clinic, Yalova/TURKEY
⁴M.D. Professor, Beyoğlu Eye Training and Research Hospital, İstanbul/TURKEY Purpose: To report our experience in the management of glaucoma following pediatric cataract surgery.
Material and Methods: Fifty-five eyes of 35 patients with secondary glaucoma after pediatric cataract surgery were included in this retrospective study in age at cataract surgery, interval between cataract surgery and development of glaucoma, best corrected visual acuity (BCVA), intraocular pressure (IOP), central corneal thickness (CCT) were noted. Management of glaucoma and success rates were ascertained. Main outcome measures were treatment type and IOP control.
Results: The mean age was 16.0 years at initial presentation and 3,1 years at cataract surgery. The mean interval between cataract surgery and diagnosis of glaucoma was 138 months. Mean BCVA was 0.24 and CCT was 621.4 μ. IOP decreased from 28.3 to 16.6 mmHg at final visit. IOP control could be achieved with medications alone in 38 eyes, while surgical treatment was required in 17 eyes. Unilaterality and higher IOP at initial presentation were detected as risk factors for surgery. Ten eyes needed supplementary medications following surgery. At final visit, IOP was under 21 mmHg in 48 eyes.
Conclusions: Glaucoma is a delayed complication of pediatric cataract surgery. IOP can be controlled successfully with medications alone in the majority of patients. Remaining cases may require surgical procedures. Unilateral disease and higher IOP at initial presentation were risk factors for surgical intervention. Increased corneal thickness may be a confusing factor in both diagnosis and management of those patients. Keywords : Pediatric cataract surgery, secondary glaucoma