The impact of late-treated pediatric cataract on intraocular pressure

PURPOSE: To assess the intraocular pressure and visual acuity before and after pediatric congenital cataract surgery performed at a relatively older age.

METHODS: A retrospective analysis of all consecutive pediatric patients diagnosed and operated for bilateral congenital cataracts during a seven-year period (2012-2018) in rural southern Ethiopia. Non-ambulatory vision was defined as hand motion or worse. The main outcome measures were intraocular pressure (IOP) and visual acuity.

RESULTS: Thirty-two children were included, 17 females (53.1%), with a mean age of 11 years (± 2.83) [range, 7-18]. A total of 59 eyes were operated on. The mean follow-up was 4.8 ± 1.8 years (range, 2-8). VA improved from 20/1400 preoperatively to 20/440 postoperatively OD and 20/540 OS (p < 0.001). More eyes had ambulatory vision after cataract surgery than pre-surgery (56 eyes [95%] vs. 29 eyes [49%], p < 0.001). The IOP decreased from a mean preoperative value of 18.4 ± 7.1 mmHg to 14.5 ± 2.9 postoperatively OD (p < 0.001) and 16.3 ± 5.9 mmHg to 13.9 ± 3.5 OS (p < 0.001). Fifteen eyes (24%) had increased IOP (> 21 mmHg) preoperatively, of which three remained high after surgery. Positive correlations were found between IOP, axial length and cup-to-disc ratio. None of the patients required pressure-lowering procedures.

CONCLUSION: Bilateral congenital cataracts may be associated with ocular hypertension, with possible progression to glaucoma if left untreated. Surgery at a relatively older age often was associated with a significant improvement in intraocular pressure and ambulatory vision.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

International ophthalmology - 41(2021), 4 vom: 20. Apr., Seite 1531-1539

Sprache:

Englisch

Beteiligte Personen:

Ben-Zion, Itay [VerfasserIn]
Prat, Daphna [VerfasserIn]

Links:

Volltext

Themen:

Congenital cataract
Journal Article
Pediatric glaucoma following cataract surgery
Pseudophakic glaucoma

Anmerkungen:

Date Completed 18.06.2021

Date Revised 18.06.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10792-021-01727-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320336247