Glaucoma Following Pediatric Cataract Surgery
Published 2025 - 43rd Congress of the ESCRS
Reference: PO815 | Type: Poster | DOI: 10.82333/d0vz-a696
Authors: YU-YEN CHEN* 1 , Kai-Wen Chan 2 , Yun-Ju Lai 3
1Department of Ophthalmology,Taichung Veterans General Hospital,Taichung,Taiwan, Province of China;Doctoral Program in Translational Medicine,National Chung Hsing University,Taichung,Taiwan, Province of China, 2Department of Medical Education,Taichung Veterans General Hospital,Taichung,Taiwan, Province of China;Department of Family Medicine,Taichung Veterans General Hospital,Taichung,Taiwan, Province of China, 3School of Medicine,National Yang Ming Chiao Tung University,Taipei,Taiwan, Province of China
Purpose
To evaluate the incidence and risk factors of glaucoma in children after pediatric cataract surgery.
Setting
Retrospective cohort study using the TriNetX database.
Methods
Children (<13 years old) who underwent cataract surgery in the TriNetX database were included. Those with a preexisting glaucoma diagnosis were excluded. Patients were followed for at least one year postoperatively. The incidence of glaucoma was analyzed based on age at surgery, intraocular lens (IOL) implantation, and the need for reintervention.
Results
Among 1,835 children who underwent pediatric cataract surgery, 113 (6.2%) developed glaucoma. Younger age at surgery (<3 years) was associated with a higher glaucoma incidence. The incidence was similar between patients with IOL implantation and those left aphakic. However, reintervention significantly increased the risk of glaucoma (odds ratio = 3.8, p = 0.03).
Conclusions
Younger age at cataract surgery is a significant risk factor for developing glaucoma. Reintervention further increases glaucoma risk, while IOL implantation does not appear to affect incidence.