Konjenital Katarakt Cerrahisi Sonrası Sekonder Glokom ve Risk Faktörleri

Pur po se: To determine the risk factors and incidence of glaucoma following congenital cataract surgery in our case series.\udPatients and Methods: Records of children who underwent cataract surgery between January 2001 and December 2009 were\udreviewed retrospectively. Age at primary surgery, microcornea, aphakia/ pseudophakia and associated systemic pathology were analyzed\udas potential risk factors for glaucoma secondary to surgery. Sixty-five eyes of 37 patients having a minimum 6-month follow-up were\udincluded in the study.\udResults: Age at surgery was 35.6±43.9 months (2 months-17 years) with a follow-up period of 38.6±28.1 months (6 months-8.5\udyears). Glaucoma developed in 8 patients (14 eyes; 21.5%). Time between surgery and glaucoma diagnosis was 47.3±23.3 months (20\udmonths-7 years). Glaucoma incidence in aphakic and pseudophakic cases did not differ. Glaucoma development significantly correlated\udwith age at surgery (p<0.001), microcornea (p=0.001) and presence of systemic pathology (p=0.007). Mean age at surgery was\udsignificantly lower in patients with glaucoma diagnosis (7.4 months) than in those who did not develop glaucoma (43.4 months).\udHowever, the mean follow-up period was significantly longer in patients with glaucoma (p=0.003). Whereas glaucoma developed in\ud60% and 38.5% of the eyes of patients with microcornea and systemic pathology, respectively, this dropped to 14.5% and 10.3% in\udcases with normal corneal diameter and absence of systemic pathology, respectively.\udDiscussion: Early age at cataract surgery, microcornea and systemic pathologies are important risk factors for development of secondary\udglaucoma and the incidence of glaucoma increases with longer follow-up. To prevent visual loss, patients should be followed up lifelong.(Turk\udJ Ophthalmol 2011; 41: 358-63