The natural history of glaucoma and ocular hypertension after pediatric cataract surgery

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
J EgbertC G Summers

Abstract

We sought to define the prevalence and natural history of ocular hypertension and glaucoma for at least a 10-year period after pediatric cataract surgery. We conducted a prospective observational study of patients who received pediatric cataract surgery. Inclusion criteria included 2 directed ophthalmologic examinations performed at a minimum of 5 and 10 years after surgery. A total of 63 patients (22 with bilateral cataracts and 41 with unilateral cataracts) were examined at a median of 15.1 year (range, 10.3-21.3 years) after surgery. A majority of the subjects had glaucoma or ocular hypertension (ie, 59%; 37/63). Nineteen percent (12/63) had glaucoma (5/22 with bilateral cataracts and 7/41 with unilateral cataracts). Approximately half (7/12) had developed glaucoma during the first 5-year observational period and the remainder (5/12) developed it during the following observational period. Forty percent (25/63) of the patients had ocular hypertension in at least one aphakic eye (9/23 with bilateral cataracts and 16/40 with unilateral cataracts). The rate of progression from ocular hypertension to glaucoma over a mean observational period of 7.2 years (range, 6.2-8.1 years) was 23% (5/22). Patients who receive surgery for pedi...Continue Reading

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Citations

Jan 26, 2012·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·A L SoleboF Grehn
May 4, 2013·American Journal of Ophthalmology·Scott R LambertAllen D Beck
Oct 18, 2014·Seminars in Ophthalmology·Mary C Whitman, Deborah K Vanderveen
Jan 4, 2017·Expert Review of Medical Devices·Abhay R Vasavada, Vaishali Vasavada
Jul 18, 2019·International Ophthalmology·Massimiliano SerafinoPaolo Nucci
May 8, 2010·Clinical & Experimental Ophthalmology·Sandra E StaffieriDavid A Mackey
Oct 7, 2019·The British Journal of Ophthalmology·Ameenat Lola SoleboUNKNOWN British Congenital Cataract Interest Group
Sep 22, 2020·Journal of Pediatric Ophthalmology and Strabismus·Karina Spiess, Jesús Peralta Calvo
Dec 18, 2020·JAMA Ophthalmology·Sharon F FreedmanUNKNOWN Infant Aphakia Treatment Study Group
Feb 11, 2021·Vision·Emery C JamersonAbdelrahman M Elhusseiny

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