Abstract
Purpose: To find the frequency and pathogenesis of post-operative aphakic
glaucoma in children operated for congenital cataract at Mardan Medical
Complex, Mardan, Pakistan.
Study Design: Retrospective Cohort study.
Place and Duration of Study: Mardan Medical Complex, Mardan between
January 2001 and December 2014.
Material and Methods: All cases were operated for congenital cataracts
between the ages of 2 months to 30 months were included in the study. Babies
having congenital cataracts with increased intraocular pressure (IOP), those
showing signs of congenital glaucoma and those having congenital cataracts
with specific syndromes were not included in the study.
Results: We reviewed the records of 110 patients who had bilateral lens
aspiration for congenital cataracts. We found 7 patients (12 eyes) who
developed increased intra-ocular pressure (IOP) after bilateral lens matter
aspiration for congenital cataracts. Four patients (three males one female),
developed early onset pupil block glaucoma, (2 bilateral and 2 unilateral) while in
3 female patients the onset of glaucoma was delayed for several months to
years and was of the open angle type in both the eyes. Poor compliance with
follow up, poor pupillary dilatation, prolonged surgical time, severe inflammation
and residual lens matter are some of the risk factors for early onset pupillary
block aphakic glaucoma in pediatric age group.
Conclusions: Pediatric aphakic glaucoma is a significant complication of
congenital cataract surgery which requires continuous followup of the patients.
Zia Muhammad, John Grigg, Ikramullah, Ihsan Ali. (2019) Pediatric Aphakic Glaucoma, Pakistan Journal of Ophthalmology, Volume 35, Issue 3.
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