J Korean Ophthalmol Soc > Volume 52(10); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(10):1150-1160.
DOI: https://doi.org/10.3341/jkos.2011.52.10.1150    Published online October 15, 2011.
Glaucoma Following Pediatric Cataract Surgery: Incidence and Risk Factors.
Chang Kyu Lee, Sang Soo Kim, Wan Soo Kim
1Department of Ophthalmology, Maryknoll Hospital, Busan, Korea.
2Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. wansookim@paik.ac.kr
소아백내장 수술 후 녹내장 빈도 및 위험 인자
이창규1⋅김상수1⋅김완수2
Department of Ophthalmology, Maryknoll Hospital1, Busan, Korea Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine2, Busan, Korea
Abstract
PURPOSE
To evaluate the incidence and risk factors of glaucoma after pediatric cataract surgery. METHODS: We retrospectively reviewed 173 eyes which underwent pediatric cataract surgery from June 1998 to December 2009. The following parameters were ascertained: sex, laterality of cataract, age at diagnosis, age at surgery, cataract type, operation methods, optic capture, axial length (AXL), keratometry, follow-up period, and association of general abnormality. RESULTS: Out of the 173 eyes reviewed, 8.6% were diagnosed with glaucoma. The factors not significantly different in the glaucoma group compared to the non-glaucoma group were sex, laterality of cataract, age at diagnosis, AXL, and keratometry (p > 0.05). The incidence of glaucoma was significantly higher in the aphakic group compared to the pseudophakic group. Young age at surgery, no optic capture, pars plana lensectomy, sulcus IOL implantation, and nuclear type cataract were significantly associated with increased risk of postoperative glaucoma (p < 0.05). CONCLUSIONS: Patients with several predictors of postoperative glaucoma which may affect visual acuity may require extensive postoperative care after pediatric cataract surgery.
Key Words: Glaucoma;Incidence;Pediatric cataract;Risk factor


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