title: Lack of glaucoma following infantile cataract surgery with primary posterior chamber intraocular lens implantation.
abstract: 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.
authors.affiliation: King Khaled Eye Specialist Hospital, Medical Staff, P. O. Box 7191, Riyadh 11462, Saudi Arabia.
authors.forename: Arif O
authors.initials: AO
authors.lastname: Khan
authors.forename: Saad
authors.initials: S
authors.lastname: Al-Dahmash
mesh_terms: 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