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.
[Ophthalmic Surg Lasers Imaging 2010;41:459-462.]
AUTHORS
From King Khaled Eye Specialist Hospital (AOK); and the Department of Ophthalmology (SA-D), King Saud University, Riyadh, Saudi Arabia.
Originally submitted June 19, 2009. Accepted for publication December 8, 2009. Posted online March 30, 2010.
The authors have no financial or proprietary interest in the materials presented herein.
Address correspondence to Arif O. Khan, MD, King Khaled Eye Specialist Hospital, Medical Staff, P. O. Box 7191, Riyadh 11462, Saudi Arabia.
doi: 10.3928/15428877-20100325-03
