AI Article Synopsis
- A study was conducted to assess the long-term risk of glaucoma in children who had surgery for congenital cataracts before 7 months of age.
- The research analyzed records from 62 eyes in 37 children, revealing that 14.5% developed glaucoma and 25.8% were identified as glaucoma suspects over an average follow-up of nearly 8 years.
- The findings highlight the importance of ongoing monitoring, as the estimated probability of either developing glaucoma or being classified as a suspect was about 63% within 10 years post-surgery.
Article Abstract
Purpose: To report the long-term risk of glaucoma development in children following congenital cataract surgery.
Design: Retrospective interventional consecutive case series.
Methods: We retrospectively reviewed the records of 62 eyes of 37 children who underwent congenital cataract surgery when <7 months of age by the same surgeon using a limbal approach. The Kaplan-Meier method was used to calculate the probability of an eye's developing glaucoma and/or becoming a glaucoma suspect over time.
Results: The median age of surgery was 2.0 months and the median follow-up after cataract surgery was 7.9 years (range, 3.2-23.5 years). Nine eyes (14.5%) developed glaucoma a median of 4.3 months after cataract surgery and an additional 16 eyes (25.8%) were diagnosed as glaucoma suspects a median of 8.0 years after cataract surgery. The probability of an eye's developing glaucoma was estimated to be 19.5% (95% CI: 10.0%-36.1%) by 10 years after congenital cataract surgery. When the probability of glaucoma and glaucoma suspect were combined, the risk increased to 63.0% (95% CI: 43.6%-82.3%).
Conclusions: Long-term monitoring of eyes after congenital cataract surgery is important because we estimate that nearly two thirds of these eyes will develop glaucoma or become glaucoma suspects by 10 years after cataract surgery.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3720778 | PMC |
| http://dx.doi.org/10.1016/j.ajo.2013.03.013 | DOI Listing |
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