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Long-term cumulative incidence of glaucoma after congenital cataract surgery

Poster Details

First Author: M.Kamel SAUDI ARABIA

Co Author(s):                  

Abstract Details



Purpose:

Glaucoma is one of the greatest threats to vision following congenital cataract surgery. The odds of developing glaucoma have been reported to be directly related to the age of surgery after short-term follow-up.1 We report the long-term cumulative incidence of glaucoma in a consecutive series of children undergoing congenital cataract surgery

Setting:

Magrabi Hospital Aseer

Methods:

We reviewed the medical record of a consecutive series of children who underwent congenital cataract surgery by one surgeon. Inclusion criteria included cataract surgery <7 months of age and a minimum follow-up of 12 months. Glaucoma was defined as IOP >21 mmHg coupled with glaucomatous optic neuropathy or pressureinduced ocular enlargement. Glaucoma suspect was defined as IOP >21mmHg without any other associated signs of glaucoma. A Kaplan-Meier analysis was used to calculate the cumulative incidence of glaucoma.

Results:

A total of 65 eyes in 41 children who underwent congenital cataract surgery at a median age of 2.0 months were reviewed. The median follow-up after cataract surgery was 5.5 years (range, 1.3 to 21.8 years). Six eyes (9.2%) developed glaucoma a median of 2.7 months after cataract surgery. An additional 15 eyes (23.1%) were diagnosed as glaucoma suspects a median of 9.7 years after cataract surgery. The cumulative incidence of glaucoma was projected to be 9.6% 5 years after congenital cataract surgery (95% CI: 4.4% - 20.1%).

Conclusions:

Nearly one-quarter of the eyes in our series were glaucoma suspects, but they have not yet developed glaucoma. Long-term monitoring of these eyes will be important since they are at increased risk of developing glaucoma.nWe projected the cumulative incidence of glaucoma to be about 10% 5 years after congenital cataract surgery FINANCIAL INTEREST: NONE

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