Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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A study of the anterior segment angle in infants with congenital cataract

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Session Details

Session Title: Presented Poster Session: Congenital Cataract Surgery

Session Date/Time: Saturday 10/09/2016 | 09:30-10:50

Paper Time: 10:00

Venue: Poster Village: Pod 1

First Author: : P.Patil Chhablani INDIA

Co Author(s): :    S. Senthil   R. Kekunnaya   A. Majeed Mir        

Abstract Details


Cataracts in children maybe an isolated finding or maybe associated with other anomalies in the anterior and posterior segment. Also, a significant number of children operated for cataracts in childhood, go on to develop glaucoma. However, there is no literature available about the anatomy of the angle of the anterior chamber in children with congenital cataracts and the role it may play in the development of glaucoma. This study is a pilot project, looking at angle structures in infants with congenital cataract.


A tertiary care academic ophthalmic institute in South India


Gonioscopic examination was performed under anaesthesia prior to cataract surgery, with a four-mirror gonioscopy lens using the operating microscope. Other parameters such as corneal diameter, axial length, morphology and etiology of the cataract, intraocular pressure and central corneal thickness (CCT) were noted.


19 eyes of 20 patients were included. Mean age at cataract surgery was 4.5 months. Anterior segment anatomy was distinctly different than that in adults. Scleral spur was not identified in any eye. Dense pigmentation of the trabecular meshwork was seen in most cases (10). Iris processes were noted in all cases in at least 2 quadrants. Two distinct patterns of iris processes were noted, thick large processes extending upto Schwalbe’s line (4) and fine multiple processes (15). No correlation was found between the etiology, morphology of cataracts or corneal diameter and angle anatomy. In the patient with unilateral cataract, denser iris processes were seen in the eye with the cataract.


Anatomy of the anterior segment angle is significantly different in infants with congenital cataracts. Further studies comparing the angle anatomy of infants with congenital cataract with normal eyes are warranted. It maybe worthwhile to study the changes in the anatomy of the angle with cataract surgery and their correlation with the development of glaucoma, in the future.

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