Lack of glaucoma following infantile cataract surgery with primary posterior chamber intraocular lens implantation.
OBJECTIVE
To determine the incidence of glaucoma following infantile cataract surgery with primary posterior chamber lens (PC-IOL) implantation for isolated non-traumatic cataract.


METHODS
Retrospective institutional medical record review.


RESULTS
Thirty-six eyes of 31 patients were identified. Small incision surgery (including posterior capsulotomy and anterior vitrectomy) was performed at a mean age of 7.6 months (median: 7 months; range: 5 to 10 months) with in-the-bag PC-IOL placement in 27 eyes and sulcus PC-IOL placement in 9 eyes. Last follow-up examination was a mean 67.1 months postoperatively (median: 65 months; range: 60 to 84 months). No eye was diagnosed as having glaucoma. In a similar population (same methods, age range, and ethnic group) that was left aphakic, the incidence of glaucoma was 22 of 57 eyes (38.6%).


CONCLUSIONS
Primary PC-IOL implantation may confer protection against delayed-onset glaucoma following cataract surgery between 5 and 10 months of age.
Khan
Arif O
AO
King Khaled Eye Specialist Hospital, Medical Staff, P. O. Box 7191, Riyadh 11462, Saudi Arabia.
Al-Dahmash
Saad
S
D001036:Aphakia, Postcataract / Q000150:complications; D002387:Cataract Extraction; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000209:etiology*; D006801:Humans; D015994:Incidence; D007223:Infant; D019654:Lens Implantation, Intraocular; D008297:Male; D057972:Posterior Eye Segment / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies