Journal of Current Glaucoma Practice

Register      Login

VOLUME 11 , ISSUE 3 ( September-December, 2017 ) > List of Articles

ORIGINAL ARTICLE

Incidence and Risk Factors of Early-onset Glaucoma following Pediatric Cataract Surgery in Egyptian Children: A One-year Study

Ghada I Gawdat, Maha M Youssef, Nermeen M Bahgat, Dina M Elfayoumi, Mohamed AS Eddin

Citation Information : Gawdat GI, Youssef MM, Bahgat NM, Elfayoumi DM, Eddin MA. Incidence and Risk Factors of Early-onset Glaucoma following Pediatric Cataract Surgery in Egyptian Children: A One-year Study. J Curr Glaucoma Pract 2017; 11 (3):80-85.

DOI: 10.5005/jp-journals-10028-1229

License: CC BY 3.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

To study the incidence and risk factors of glaucoma occurring within 1 year following pediatric cataract surgery in Egyptian children.

Materials and methods

This is a prospective nonrandomized study conducted at Aburich Children's Hospital, over a period of 1 year on a cohort of Egyptian patients with congenital and infantile cataract. One hundred and fifty eyes of 88 patients were enrolled in this study. All the patients underwent anterior approach removal of lens matter, whereas primary intraocular lens (IOL) implantation was carried at the age of 1 and 2 years for unilateral and bilateral cases respectively. Intraocular pressure (IOP) was measured at 1 week, 1 month, 3 months, 6 months, 9 months, and 1 year. For those who developed glaucoma, time of diagnosis and associated risk factors were reported.

Results

The incidence of glaucoma was 11.33% (17 of 150 eyes), while incidence of glaucoma suspect was 0.67% (1 of 150 eyes) in the first year following cataract surgery. The majority of the cases (66.7%) were discovered in the first 3 months postcataract surgery. Age at time of cataract surgery, the state of aphakia/pseudophakia, persistent fetal vasculature (PFV), and microphthalmia were not found to be significant predictors of early-onset glaucoma in our study.

Conclusion

Aphakic glaucoma continues to be a devastating condition with high incidence during first year following cataract surgery.

Clinical significance

Regular follow-up should start as early as possible following cataract surgery. Further prospective studies with larger study population are required.

How to cite this article

Gawdat GI, Youssef MM, Bahgat NM, Elfayoumi DM, Eddin MAS. Incidence and Risk Factors of Early-onset Glaucoma following Pediatric Cataract Surgery in Egyptian Children: A One-year Study. J Curr Glaucoma Pract 2017;11(3):80-85.


  1. Glaucoma following childhood cataract surgery. J Pediatr Ophthalmol Strabismus 1994 Nov-Dec;31(6):355-360.
  2. Glaucoma secondary to pars plana lensectomy for congenital cataract. Graefes Arch Clin Exp Ophthalmol 2002 Mar;240(3):176-179.
  3. Aphakic glaucoma after congenital cataract surgery. Arch Ophthalmol 2004 Dec;122(12):1819-1825.
  4. Risk of glaucoma after pediatric cataract surgery. Invest Ophthalmol Vis Sci 2008 May;49(5):1791-1796.
  5. Incidence and risk factors for glaucoma after pediatric cataract surgery with and without intraocular lens implantation. J AAPOS 2006 Apr;10(2):117-123.
  6. Secondary glaucoma after pediatric cataract surgery. Int J Ophthalmol 2013 Apr 18;6(2):216-220.
  7. Long-term visual results and complications in children with aphakia. A function of cataract type. Ophthalmology 1993 Jun;100(6):826-840.
  8. Review of aphakic glaucoma after surgery for congenital cataract. J Cataract Refractive Surg 1997; 23(Suppl 1):664-668.
  9. Glaucoma following congenital cataract surgery: an 18-year longitudinal follow-up. Acta Ophthalmol Scand 2000 Feb;78(1):65-70.
  10. Glaucoma-related adverse events in the Infant Aphakia Treatment Study: 1-year results. Arch Ophthalmol 2012 Mar;130(3):300-305.
  11. Does primary intraocular lens implantation prevent “aphakic” glaucoma in children? J AAPOS 2000 Feb;4(1):33-39.
  12. Glaucoma after pediatric lensectomy/vitrectomy. Ophthalmology 1991 May;98(5):670-674.
  13. A prospective study of ocular hypertension and glaucoma after pediatric cataract surgery. Ophthalmology 1995 Jul;102(7):1098-1101.
  14. Frequency and predictors of glaucoma after pediatric cataract surgery. Am J Ophthalmol 2004 Jan;137(1):30-37.
  15. Secondary glaucoma after paediatric cataract surgery. Br J Ophthalmol 2007 Dec;91(12):1627-1630.
  16. Incidence of and factors associated with glaucoma after surgery for congenital cataract: findings from the British Congenital Cataract Study. Ophthalmology 2008 Jun;115(6):1013-1018.
  17. Incidence of early-onset glaucoma after infant cataract extraction with and without intraocular lens implantation. Br J Ophthalmol 2009 Sep;93(9):1200-1203.
  18. Complications in the first 5 years following cataract surgery in infants with and without intraocular lens implantation in Infant Aphakia Treatment Study. Am J Ophthalmol 2014 Nov;158(5):892-898.
  19. Glaucoma after congenital cataract surgery. Ophthalmology 1995 Jun;102(6):863-867.
  20. Long-term risk of glaucoma after congenital cataract surgery. Am J Ophthalmol 2013 Aug;156(2):355-361.
  21. Age at the time of cataract surgery and relative risk for aphakic glaucoma in nontraumatic infantile cataract. J AAPOS 2009 Apr;13(2):166-169.
  22. Outcome of cataract surgery with primary intraocular lens implantation in children. Br J Ophthalmol 2011 Aug;95(8):1086-1090.
  23. Prevalence of glaucoma after surgery for PHPV and infantile cataracts. J Pediatr Ophthalmol Strabismus 1996 Jan-Feb;33(1):14-17.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.