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  • Title: Glaucoma following congenital cataract surgery: an 18-year longitudinal follow-up.
    Author: Magnusson G, Abrahamsson M, Sjöstrand J.
    Journal: Acta Ophthalmol Scand; 2000 Feb; 78(1):65-70. PubMed ID: 10726793.
    Abstract:
    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.
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