Corneal Thickness in Eyes Following Pars Plana Lensectomy for Congenital Cataracts

Abstract

The central cornea of congenital cataract-extracted eyes was significantly thicker than that of controls.

Long-term follow-up of changes in corneal endothelium after primary and secondary intraocular lens implantations in children

“…In previous studies, the corneal thickness after pediatric cataract surgery may have been increased due to endothelial damage during and after surgery, and subsequent endothelial decompensation [44][45][46]. In our study, the CCT was significantly increased, yet there was no statistically significant change in ECD, CV and hexagonality.…”

Central Corneal Thickness in Congenital Glaucoma

“…The CCT of congenital cataract-extracted eyes was possibly thicker than that of controls, as was recently reported by Amino et al 6 The study by Henriques et al 5 concluded that thinner corneas in congenital glaucoma may introduce an additional confounding element. Namely, the pressure in borderline cases may be underestimated because of a low IOP measurement caused by a thin cornea.…”

Cataract surgery for congenital cataract: Endothelial cell characteristics, corneal thickness, and impact on intraocular pressure

“…Some reports 6,10,17 in the past speculated that the increased CCT in children who have had cataract extractions may be due to the endothelial damage at the time of surgery or after that. Simon et al reported that compromise of endothelial function may have resulted from surgical trauma due to manipulation or irrigation solutions or from postoperative inflammation.…”

“…1 Cataract surgery is performed early to prevent amblyopia; however, early surgery can affect the structure of the eye, 2,3 including the cornea. [4][5][6] The risk of glaucoma among aphakic children has been demonstrated to be as high as 32% in previous studies. [7][8][9] However, the diagnosis of glaucoma in these reports has rested primarily on intraocular pressure (IOP) measurement 7,10 and increasing evidence has suggested that IOP may be influenced by central corneal thickness (CCT).…”