Congenital cataract surgery poses high risk for glaucoma development
Due to the high risk of glaucoma development in eyes after early congenital cataract surgery, long-term monitoring is essential, according to a study.
Sixty-two eyes of 37 children who underwent congenital cataract surgery younger than 7 months of age were included in the retrospective, interventional, consecutive case series. Patients were followed for a median 7.9 years.
All procedures were performed by the same surgeon, using a limbal method.
Glaucoma developed in nine eyes (14.5%) at 4.3 months postoperatively and an additional 16 eyes were diagnosed as glaucoma suspects at a median of 8 years postoperatively due to increased IOP levels.
An estimated 19.5% of congenital cataract surgery patients will likely develop glaucoma by 10 years postoperatively. The risk increased to 63.0% when the probability of glaucoma suspect was included.
“Early diagnosis and treatment of eyes with elevated IOP may delay the onset of glaucoma in these eyes,” the study authors said.
Disclosure: Allen D. Beck, MD, receives an honorarium and travel support from Merck. The remaining authors have no relevant financial disclosures.