Incidence and risk factors of early-onset glaucoma following paediatric cataract surgery In Egyptian children: one-year study

Session Details

Session Title: Paediatric Cataract Surgery

Session Date/Time: Sunday 15/09/2019 | 16:30-18:00

Paper Time: 17:12

Venue: Free Paper Forum: Podium 2

First Author: : N.Bahgat EGYPT

Co Author(s): :    G. Gawdat   M. Youssef   D. Elfayoumi   M. Salah                    

Abstract Details

Purpose:

To study incidence and risk factors of glaucoma occurring within 1 year following paediatric cataract surgery in Egyptian children.

Setting:

Cairo University Pediatric Hospital (Aburich Hospital).

Methods:

This is a prospective non-randomised study conducted at Aburich Children’s Hospital, over a period of 1 year on a cohort of patients with congenital cataract. 150 eyes of 88 patients were enrolled. All the patients underwent anterior approach removal of lens matter, whereas primary intraocular lens implantation (IOL) was carried at the age of one and two years for unilateral and bilateral cases, respectively. Intraocular pressure (IOP) was measured at one week, one month, three months, six months, nine months and one year. For those who developed glaucoma, time of diagnosis and associated risk factors were reported.

Results:

The incidence of glaucoma was 11.33% (17 of 150 eyes) in the first year following cataract surgery. The majority of the cases (66.7%) were discovered in the first 3 months post cataract surgery. While age ≤ 12 months at time of cataract surgery was found to be a significant predictor of early onset glaucoma, the state of aphakia/ pseudophakia, and ocular anomalies were not.

Conclusions:

Aphakic glaucoma continues to be a devastating condition with high incidence during first year following cataract surgery. Cataract surgery in the first twelve months carries a higher risk of secondary glaucoma.

Financial Disclosure:

None