title: Secondary glaucoma after pediatric cataract surgery.
abstract: OBJECTIVE
  To determine the incidence and risk factors of secondary glaucoma after pediatric cataract surgery.
  
  
  METHODS
  Two hundred and forty nine eyes of 148 patients underwent cataract surgery without intraocular lens (IOL) implantation (group 1), and 220 eyes of 129 patients underwent cataract surgery with IOL implantation (group 2) retrospectively, were evaluated between 2000 and 2011. The outcome measure was the presence or absence of post-cataract surgery glaucoma, defined as an intraocular pressure (IOP) ≥26mmHg, as measured on at least two occasions along with corneal or optic nerve changes.
  
  
  RESULTS
  The mean follow-up periods of group 1 and 2 were (60.86±30.95) months (12-123 months) and (62.11±31.29) months (14-115 months) respectively. In group 1, 12 eyes of 8 patients (4.8%) developed glaucoma. None of the patients developed glaucoma after surgery in group 2. The mean age of the patients at the cataract surgery was (2.58±0.90) months (1 month-4 months) and the average period for glaucoma development after surgery was (9.50±4.33) months (4-16 months) in group 1. Three of the 12 glaucomatous eyes were controlled with antiglaucomatous medication and 9 eyes underwent trabeculectomy+mitomycin C surgery. One patient underwent a second trabeculectomy + mitomycin C operation for both of his eyes.
  
  
  CONCLUSIONS
  The incidence of glaucoma after pediatric cataract surgery is very low in patients in whom IOL is implanted. The aphakic eyes after pediatric cataract surgery are at an increased risk for glaucoma development particularly if they underwent surgery before 4 months of age.
authors: Department of Ophthalmology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors: Alparslan
authors: A
authors: Sahin
authors: Ihsan
authors: I
authors: Caça
authors: Abdullah Kürşat
authors: AK
authors: Cingü
authors: Fatih Mehmet
authors: FM
authors: Türkcü
authors: Harun
authors: H
authors: Yüksel
authors: Muhammed
authors: M
authors: Sahin
authors: Yasin
authors: Y
authors: Cinar
authors: Seyhmus
authors: S
authors: Ari
keywords: intraocular lens implantation; pediatric cataract; secondary glaucoma
references: Ophthalmology. 1993 Jun;100(6):826-40; discussion 840-1
references: 8510894
references: Am J Ophthalmol. 2004 Jan;137(1):30-7
references: 14700641
references: J Cataract Refract Surg. 2001 Dec;27(12):2006-11
references: 11738918
references: Ophthalmic Surg Lasers Imaging. 2005 Jan-Feb;36(1):6-13
references: 15688966
references: Am J Ophthalmol. 1992 Sep 15;114(3):314-7
references: 1524121
references: Ophthalmology. 1991 May;98(5):670-4
references: 2062500
references: Ophthalmic Surg. 1992 Oct;23(10):650-6
references: 1436963
references: J Cataract Refract Surg. 1997;23 Suppl 1:664-8
references: 9278822
references: J AAPOS. 2006 Apr;10(2):117-23
references: 16678745
references: J AAPOS. 2003 Apr;7(2):81-5
references: 12736618
references: J Pediatr Ophthalmol Strabismus. 1996 Sep-Oct;33(5):230-4
references: 8880615
references: J AAPOS. 2000 Feb;4(1):33-9
references: 10675869
references: Acta Ophthalmol Scand. 2000 Feb;78(1):65-70
references: 10726793
references: Graefes Arch Clin Exp Ophthalmol. 2002 Mar;240(3):176-9
references: 11935274
references: Ophthalmology. 1997 Nov;104(11):1737-43
references: 9373100
references: Am J Ophthalmol. 2008 Jul;146(1):1-7
references: 18407241
references: Br J Ophthalmol. 2001 Mar;85(3):267-71
references: 11222328
references: Arch Ophthalmol. 1977 Nov;95(11):1985-7
references: 921576
references: J AAPOS. 1997 Jun;1(2):98-101
references: 10875085
references: Br J Ophthalmol. 2004 Jul;88(7):905-10
references: 15205235
references: Br J Ophthalmol. 2007 Dec;91(12):1627-30
references: 17475699