Incidence of Chronic Glaucoma, Retinal Detachment and Secondary Membrane Surg ery in Pediatric Aphakic Patients

Chrousos, Georgia Antonakou; Parks, Marshall M.; O’Neill, John

doi:10.1016/s0161-6420(84)34161-6

Cited by 134 publications

(76 citation statements)

References 11 publications

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“…Opacification of the posterior capsule always occurs if the posterior lens capsule is left intact and therefore a reoperation for after-cataract becomes necessary (Meyner 1980). Excision of the posterior capsule decreases the incidence of aftercataract (Chrousos et al 1984) but Morgan & Karcioglu (1987) reported regrowth of lens epithelium in spite of a 5-mm posterior capsulotomy and anterior vitrectomy. The finding was verified cytologically.…”

Section: Discussionmentioning

confidence: 99%

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Complications after early surgery for congenital cataracts

Lundvall

Zetterström

1999

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To study the type and frequency of complications requiring additional surgery in infants operated on for congenital cataract before 12 months of age. Methods: The medical records of 57 infants who underwent surgery for unilateral and bilateral congenital cataracts during a five-year-period were reviewed retrospectively. The follow-up period ranged from 9 to 70 months with a mean of 37 months. Cataract extraction was performed on 83 eyes. Results: Thirty-eight operations for after-cataracts were performed on 32 out of 83 eyes. Fourteen vitrectomies were made on 11 eyes because of pupillary block glaucoma. Glaucoma requiring trabeculectomy developed in eight eyes 2 to 14 months after cataract extraction. This type of glaucoma occurred almost exclusively in eyes operated on during the first two months of life. Conclusion: Complications requiring additional surgery are very common in infants operated on for congenital cataracts during the first year of life. Glaucoma requiring trabeculectomy developed particularly in infants who had their cataract extraction very early. Glaucoma development was not more common in infants operated on for after-cataract.Key words: infant -cataract surgery -complications -aphakic glaucoma -after-cataract.Acta Ophthalmol. Scand. 1999: 77: 677-680 Copyright c Acta Ophthalmol Scand 1999. ISSN 1395-3907 C ataract is the most important cause of treatable childhood blindness (Foster et al. 1997). The visual outcome in infants undergoing surgery for congenital cataract has improved dramatically since the advent of modern surgical techniques and the realisation that early intervention and immediate optical correction can prevent otherwise irreversible deprivation amblyopia (Taylor 1979;Jacobson et al. 1981). However, it is extremely important that the cataract extraction and the correction of aphakia are performed early -within the first months of life Rogers et al. 1981;Gelbart et al. 1982;Parks 1982;Birch & Stager 1988;Drummond et al. 1989;Kugelberg 1992). It is also important to diagnose and treat complications such as after-cataract and secondary glaucoma as soon as possible to avoid deprivation amblyopia or damage of the optic nerve. Both open-angle and closedangle glaucoma occur after successful surgery for congenital cataracts and the incidence remains alarmingly high (Phelps & Arafat 1977;Keech et al. 1989;Simon et al. 1991;Mills & Robb 1994).The aim of this retrospective study was to determine the type and incidence of complications requiring additional surgery in infants who had undergone cataract extraction prior to 12 months of age. Material and MethodsThe medical records of all infants who underwent surgery for congenital cataract before 12 months of age at St. Erik's Eye Hospital during the five-year period from October 1991 to August 1996 were reviewed retrospectively. Seventy-five percent of the operations were performed by the same surgeon, the remaining twenty-five percent by three other surgeons.The surgical technique of the cataract extraction was th...

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Section: Discussionmentioning

confidence: 99%

“…Glaucoma developing after early cataract surgery is more problematic (Phelps & Arafat 1977;Chrousos et al 1984;Simon et al 1991;Parks et al 1993;Mills & Robb 1994;Egbert et al 1995;Walton 1995). It can occur soon after surgery as a result of pupil block or several years later with an open, but abnormal angle (Russell-Eggitt & Zamiri 1997).…”

Section: Discussionmentioning

confidence: 99%

Complications after early surgery for congenital cataracts

Lundvall

Zetterström

1999

Acta Ophthalmologica Scandinavica

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“…3 Risk factors for aphakic glaucoma such as microcornea, 4,5 poor pupil dilation, 6 early surgery, 6,7 the need for secondary surgery 8,7 and type of cataract 5 are well documented. However, the role of posterior capsule integrity and intraocular lens implantation is less clear.…”

Section: Papadopoulos and Pt Khawmentioning

confidence: 99%

“…Support for this in the literature is inconclusive because of the shorter follow-up for the lensectomy and vitrectomy technique vs simple aspiration. 3,8 Asrani et al 1 suggest that primary posterior chamber intraocular lens implantation may decrease the incidence of open-angle glaucoma in congenital and development cataracts, but again with a short follow-up.…”

Section: Papadopoulos and Pt Khawmentioning

confidence: 99%

Meeting the challenge of glaucoma after paediatric cataract surgery

Papadopoulos

Khaw

2003

Eye

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“…1 Many of them will develop normal vision, following cataract surgery, but others will become blind, either from the cataract, or from complications following surgery. These complications can be devastating, 2,3 and include glaucoma, and retinal detachment.…”

Section: Introductionmentioning

confidence: 99%

Retinal detachment following surgery for congenital cataract: presentation and outcomes

Yorston

Yang

Sullivan

2004

Eye

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Aims To review the current management and outcomes of retinal detachment following cataract surgery in childhood. Methods A retrospective review of 59 eyes of 52 patients. Results In 37% of patients, the fellow eye was blind (o3/60). The macula was detached at presentation in 81% of eyes. The detachment was obscured by residual lens matter, or a miotic pupil in 67% of eyes that had cataract surgery before 1970, but in only 30% of eyes operated after 1970. The retina was reattached with one operation in 59% of eyes, and final reattachment was achieved in 81%. No retina was reattached by scleral buckling alone. Visual outcomes were slightly better in eyes that had retinal detachment repair after 1 January 1998. Nine patients were blind in both eyes at the latest follow-up. Conclusions Retinal detachment following childhood cataract surgery remains a serious condition. There has been some improvement in the prognosis due to a combination of advances in childhood cataract surgery as well as to improvements in the management of retinal detachment. Early recognition and prompt surgery, using an internal approach, may prevent blindness in most cases.

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Incidence of Chronic Glaucoma, Retinal Detachment and Secondary Membrane Surg ery in Pediatric Aphakic Patients

Cited by 134 publications

References 11 publications

Complications after early surgery for congenital cataracts

Complications after early surgery for congenital cataracts

Meeting the challenge of glaucoma after paediatric cataract surgery

Retinal detachment following surgery for congenital cataract: presentation and outcomes

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