Open AccessGlaucoma following congenital cataract surgery: An 18‐year longitudinal follow‐up
Author(s) -
Magnusson G.,
Abrahamsson M.,
Sjöstrand J.
Publication year - 2000
Publication title -
acta ophthalmologica scandinavica
Language(s) - English
Resource type - Journals
eISSN - 1600-0420
pISSN - 1395-3907
DOI - 10.1034/j.1600-0420.2000.078001065.x
Subject(s) - medicine , glaucoma , incidence (geometry) , cataract surgery , cataracts , cohort , ophthalmology , complication , glaucoma surgery , risk factor , cohort study , surgery , physics , optics
. Purpose: To report the occurrence of postoperative glaucoma and to evaluate risk factors. Methods: Children born in four of the western counties of Sweden who were diagnosed with congenital cataracts formed a cohort (n=137). The following parameters were evaluated: age at cataract surgery; type of surgery; visual outcome; postoperative IOP; optic disc abnormalities; date of onset of the complication; number of reoperations, including treatment for secondary cataract; presence of systemic anomalies; microphthalmus; and eye‐related anomalies. Results: A diagnosis of glaucoma was recorded for 12% of the eyes. The mean follow‐up time was 9.6 years. There is a relationship between surgery before the age of 10 days and development of glaucoma. Microphthalmus is an important risk factor as well. Conclusions: Despite modern surgical techniques the incidence of aphakic glaucoma is 10% or higher. No time‐dependent increase in the incidence of late‐onset glaucoma between the 1980s and the 1990s could be proven.