GLAUCOMA AFTER CONGENITAL CATARACT SURGERY

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RAJAVI ZH.; MOEZI GHADIM H.; MOHAMMAD RABI H.; MOHSENI BADAL ABADI M.

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2004 | Volume:16 | Issue:2 Page(s): 13-22

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Information Journal Paper

Title

GLAUCOMA AFTER CONGENITAL CATARACT SURGERY

Author(s)

RAJAVI ZH. | MOEZI GHADIM H. | MOHAMMAD RABI H. | MOHSENI BADAL ABADI M. | Issue Writer Certificate

Keywords

GLAUCOMAQ3

CONGENITAL CATARACTQ4

PREVALANCEQ4

PCOQ4

LENSECTOMYQ4

Abstract

Background and Purpose: GLAUCOMA after CONGENITAL CATARACT surgery is one of the challenging problems in pediatric ophthalmology. The incidence of GLAUCOMA after CONGENITAL CATARACT surgery has been reported from 5% to 41%. The aim of this study was epidemiological evaluation of GLAUCOMA after CONGENITAL CATARACT surgery at Imam Hossein hospital from 1990 to 2000. Methods and Materials: This study was performed as an existing data in the first part and as non-comparative case series in the second. Records of all patients that had undergone CONGENITAL CATARACT surgery at Imam Hossein hospital between 1990-2000 were reviewed and patients were invited for complete eye reexamination. GLAUCOMA was considered if IOP was more than 21 mmHg with or without increased optic nerve cupping. Follow up was at least 2 years for every patient. Results: 151 eyes of 92 patients were evaluated. Mean age was 11.46±5.32 years. 53.3% were female and 46.7% were male. Mean age at the time of surgery was 4.68±3.24 years. The most common type of cataract was complete (31.1%). Mean follow up duration was 52.2±23 months. 25 of 151 eyes were GLAUCOMAtous (16.55%). Mean time between cataract surgery and GLAUCOMA detection was 45.04±13 months. The most common type of surgery was anterior LENSECTOMY + anterior vitrectomy + primary posterior capsulotomy. Posterior capsule opacity was seen in 30.5% of cases. Conclusion: GLAUCOMA after CONGENITAL CATARACT surgery is one of the most serious and resistant complications in pediatric patients. Children do not cooperate for eye examination and intraocular pressure measurement, so GLAUCOMA diagnosis can be easily missed. Long term follows up and repeated eye examinations especially in patients with microcornea are recommended for detection of GLAUCOMA as soon as possible. Knowledge of physicians and parents about possibility of GLAUCOMA after CONGENITAL CATARACT surgery can help early diagnosis and treatment, in order to prevent irreversible visual impairment.

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APA: Copy

RAJAVI, ZH., MOEZI GHADIM, H., MOHAMMAD RABI, H., & MOHSENI BADAL ABADI, M.. (2004). GLAUCOMA AFTER CONGENITAL CATARACT SURGERY. JOURNAL OF CURRENT OPHTHALMOLOGY, 16(2), 13-22. SID. https://sid.ir/paper/53055/en

Vancouver: Copy

RAJAVI ZH., MOEZI GHADIM H., MOHAMMAD RABI H., MOHSENI BADAL ABADI M.. GLAUCOMA AFTER CONGENITAL CATARACT SURGERY. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2004;16(2):13-22. Available from: https://sid.ir/paper/53055/en

IEEE: Copy

ZH. RAJAVI, H. MOEZI GHADIM, H. MOHAMMAD RABI, and M. MOHSENI BADAL ABADI, “GLAUCOMA AFTER CONGENITAL CATARACT SURGERY,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 16, no. 2, pp. 13–22, 2004, [Online]. Available: https://sid.ir/paper/53055/en

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