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Ophthalmic Surg Lasers Imaging. 2010 Jul-Aug;41(4):459-62. doi: 10.3928/15428877-20100325-03.

Lack of glaucoma following infantile cataract surgery with primary posterior chamber intraocular lens implantation.

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1
King Khaled Eye Specialist Hospital, Medical Staff, P. O. Box 7191, Riyadh 11462, Saudi Arabia.

Abstract

BACKGROUND AND OBJECTIVE:

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

PATIENTS AND 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%).

CONCLUSION:

Primary PC-IOL implantation may confer protection against delayed-onset glaucoma following cataract surgery between 5 and 10 months of age.

PMID:
20415294
DOI:
10.3928/15428877-20100325-03
[Indexed for MEDLINE]
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