Skip to main content
SpringerLink
Log in

Secondary glaucoma after congenital cataract surgery

  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose: Glaucoma has been recognized as an infrequent but serious complication following surgery for congenital cataract in childhood. We conducted a retrospective review of patients in whom glaucoma had developed after surgery for congenital cataract. Methods: We reviewed the records of 87 eyes of 53 patients on whom cataract surgery had been performed between February 1982 and March 1995 at Ondokuz Mayis University Hospital, Samsun. Results: The average postoperative follow-up is 4.5 years (range 1 to 12 years). We identified open angle glaucoma (OAG) in 17 eyes, chronic angle closure glaucoma (ACG) in six eyes, and acute angle closure glaucoma (AACG) in two eyes. The average time between cataract surgery and the diagnosis of glaucoma was 6.08 years (range one week to 10 years). The mean time to diagnosis of glaucoma was 4.7 years (range 4 months to 10 years) for OAG, 4.3 years (range 1 to 8 years) for ACG and, for AACG, 7 days and 10 months following surgery. Medication alone was successful in intraocular pressure control in 17 of 25 eyes (<21 mmHg), and additional surgical procedures resulted in intraocular pressure control in eight eyes in which they were performed. Conclusion: Patients undergoing cataract surgery early in life should be routinely examined for possible postoperative glaucoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Nelson LB, Wagner RS. Pediatric cataract surgery. Ophthal North America 1991: 165–189.

  2. Biglan A. Outcome of treatment for bilateral congenital cataracts (discussion). Trans Am Ophthalmol Soc 1992; 90: 194–197.

    Google Scholar 

  3. Phelps CD, Arafat NI. Open-angle glaucoma following surgery for congenital cataracts. Arch Ophthalmol 1977; 95: 1985–1987.

    PubMed  CAS  Google Scholar 

  4. François J. Late results of congenital cataract surgery. Ophthalmology 1979, 86: 1586–1598.

    PubMed  Google Scholar 

  5. Wallace DK, Plager DA, Snyder SK, Raiesdana A, Helveston EM, Ellis FD. Surgical results of secondary glaucoma in childhood. Ophthalmology 1998; 105: 101–111.

    Article  PubMed  CAS  Google Scholar 

  6. Simon JW, Mehta N, Simmons ST, Catalano RA. Glaucoma after pediatric lensectomy/vitrectomy. Ophthalmology 1991; 98: 650–674.

    Google Scholar 

  7. Mills MD, Robb RM. Glaucoma following childhood cataract surgery. J Pediatr Ophthalmol Strabismus 1994; 31: 355–360.

    PubMed  CAS  Google Scholar 

  8. Keech RV, Tongue AC, Scott WE. Complications after surgery for congenital and infantile cataracts. Am J Ophthalmol 1989; 108: 136–141.

    PubMed  CAS  Google Scholar 

  9. Chrousos GA, Parks MM, O'Neill JF. Incidence of chronic glaucoma, retinal detachment and secondary membrane surgery in pediatric aphakic patients. Ophthalmol 1984; 91: 1238–1241.

    CAS  Google Scholar 

  10. Johnson CP, Keech RV. Prevalence of glaucoma after surgery for PHPV and infantile cataracts. J Pediatr Ophthalmol Strabismus 1996; 33: 14–17.

    PubMed  CAS  Google Scholar 

  11. Parks MM, Johnson DA, Reed GW. Long-term visual results and complications in children with aphakia. Ophthalmol 1993, 10: 826–824.

    Google Scholar 

  12. Wallace DK, Plager DA. Corneal diameter in childhood aphakic glaucoma. J Pediatr Ophthalmol Strabismus 1996; 33: 230–234.

    PubMed  CAS  Google Scholar 

  13. Asrani GS, Wilensky JT. Glaucoma after congenital cataract surgery. Ophthalmology 1995; 102: 863–867.

    PubMed  CAS  Google Scholar 

  14. Robb RM, Peterson RA. Outcome of treatment for bilateral congenital cataract. Ophthal Surg 1992; 23: 650–656.

    CAS  Google Scholar 

  15. Podolsky MM, Ritch R. Secondary glaucoma in aphakia. In: Ritch R, Shields MB, Krupin T (eds), The Glaucomas. Mosby Co. 1989; 2: 1265–1284.

  16. François J. Glaucoma and üveitis after congenital cataract surgery. Ann Ophthalmol 1971; 131–135.

  17. Simmons RJ. The vitreous in glaucoma. Trans Ophthalmol Soc UK 1975; 95: 422–425.

    PubMed  CAS  Google Scholar 

  18. Grant WM. Open-angle glaucoma with vitreous filling the anterior chamber following cataract extraction. Trans Am Ophthalmol Soc. 1963; 61: 96–98.

    Google Scholar 

  19. Jampel HD, Jabs DA, Quigley HA. Trabeculectomy with 5-FU for adult inflammatory glaucoma. Am J Ophthal. 1990; 109: 168–173.

    PubMed  CAS  Google Scholar 

  20. Aritürk N, Öge I, Erkan D, Süllü Y. Travmaya bagli sekonder glokom olgulari. T Klin Oftalmoloji 1995; 3: 232–237.

    Google Scholar 

  21. Panek WC, Holland GN, Lee DA, Christensen RE. Glaucoma in patients with uveitis. Br J Ophthalmol 1990; 74: 223–227.

    PubMed  CAS  Google Scholar 

  22. Parks MM, Hiles DA. Management of infantile cataracts. Am J Ophthalmol 1967; 63: 10–19.

    PubMed  CAS  Google Scholar 

  23. Sterling S, Wood TO. Effect of intraocular lens convexity on posterior capsule opacification. J Cataract Refract Surg 1986; 12: 655–661.

    PubMed  CAS  Google Scholar 

  24. Rush DP, Bazarian RA. Intraocular lenses in children. In: Burde MR, Slamovits TL (eds), Advances in Clinical Ophthalmology. C.V. Mosby Co., St. Louise 1994: 263–274.

    Google Scholar 

  25. Steinert RF, Puliafito CA, Kumar SR, Dudak SD, Patel S. Cystoid macular edema, Retinal detachment and Glaucoma after Nd:YAG laser posterior capsulotomy. Am J Ophthalmol 1991; 112: 373–380.

    PubMed  CAS  Google Scholar 

  26. Fourman S, Apisson J. Late onset evaluation in intraocular pressure after Nd:YAG laser posterior capsulotomy. Arch Ophthal. 1991; 109: 511–513.

    PubMed  CAS  Google Scholar 

  27. Atkinson CS, Hiles DA. Treatment of secondary posterior capsular membranes with the Nd: YAG laser in a pediatric population. Am J Ophthalmol. 1994; 118: 496–501.

    PubMed  CAS  Google Scholar 

  28. Walton DS. Glaucoma secondary to operation for childhood cataract In: Epstein DL. (ed.), Chandler and Grant's Glaucoma, 3rd edn. Philadelphia, Lea & Febiger, 1986: 521–525.

    Google Scholar 

  29. Gelbart SS, Hoyt CS, Jastrebski G, Marg E. Long-term visual results in bilateral congenital cataracts. Am J Ophthalmol 1982; 93: 615–621.

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. Nursen Aritürk
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ihsan Öge
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Farshid Mohajery
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dilek Erkan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sultan Türkoglu
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aritürk, N., Öge, I., Mohajery, F. et al. Secondary glaucoma after congenital cataract surgery. Int Ophthalmol 22, 175–180 (1998). https://doi.org/10.1023/A:1006293404040

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1006293404040

Search

Navigation