Aphakic Glaucoma after Paediatric Cataract Surgery
Background : To study the development of aphakic glaucoma and other complications after congenital cataract surgery. Methods:In this descriptive study 30 children, from 4 months to 2 years of age, with cataract were enrolled.Patients with ocular trauma, congenital glaucoma, anterior segment dysgenes...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2014-06-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/400 |
| _version_ | 1818532920834392064 |
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| author | Khalid Waheed |
| author_facet | Khalid Waheed |
| author_sort | Khalid Waheed |
| collection | DOAJ |
| description | Background : To study the development of aphakic glaucoma and other complications after congenital cataract surgery. Methods:In this descriptive study 30 children, from 4 months to 2 years of age, with cataract were enrolled.Patients with ocular trauma, congenital glaucoma, anterior segment dysgenesis, posterior segment abnormalities and retinopathy of prematurity were not included in this study. Anterior and posterior segment examination, retinoscopy, keratometry and ultrasonosgraphy were done to assess retinal status. Pupils were dilated using cyclopentolate1% and phenylepherine10%, at 90, 60, 30 and 15 minutes preoperatively. Surgical procedures included anterior capsulotomy/anterior continuous curvilinear capsulorhexis, irrigation and aspiration of lens matter, posterior capsulotomy or posterior continuous curvilinear capsulorhexis, anterior vitrectomy, 0.1c.c intravitreal dexamethasone injection. All cases remained on topical steroids and cycloplegic eye drops for six weeks. Patients were followed on first postoperative day and first postoperative week for detection of early postoperative complications. Then patients were followed after three months, six months and one year. In every visit patients were evaluated including funduscopy, cycloplegic retinoscopy and record of intraocular pressure. Results: A total 30 eyes of 30 patients were evaluated before surgical intervention. There were 22 male and 8 female patients . Age range was between 4 months to 2 years. Aphakic glaucoma was observed in 7% of patients. Posterior capsular opacification was seen in 64% (Table 1). There were no reported intraoperative complications. After cataract surgery, all eyes were treated with corticosteroids and antibiotic eyedrops for eight weeks. Postoperatively there were no case of corneal decomprensation or endophthalmitis. . The incidence was noticed in patients less than one year of age and cataract surgery was performed under four months of age. Conclusion: Aphakic glaucoma is higher in patients who were operated within twelve months of age for congenital cataracts |
| first_indexed | 2024-12-11T17:51:51Z |
| format | Article |
| id | doaj.art-642569726828494aa3575108ffd40218 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-12-11T17:51:51Z |
| publishDate | 2014-06-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-642569726828494aa3575108ffd402182022-12-22T00:56:12ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702014-06-01181Aphakic Glaucoma after Paediatric Cataract SurgeryKhalid Waheed0Department of Ophthalmology , Services Hospital and Services Institute of Medical Sciences, LahoreBackground : To study the development of aphakic glaucoma and other complications after congenital cataract surgery. Methods:In this descriptive study 30 children, from 4 months to 2 years of age, with cataract were enrolled.Patients with ocular trauma, congenital glaucoma, anterior segment dysgenesis, posterior segment abnormalities and retinopathy of prematurity were not included in this study. Anterior and posterior segment examination, retinoscopy, keratometry and ultrasonosgraphy were done to assess retinal status. Pupils were dilated using cyclopentolate1% and phenylepherine10%, at 90, 60, 30 and 15 minutes preoperatively. Surgical procedures included anterior capsulotomy/anterior continuous curvilinear capsulorhexis, irrigation and aspiration of lens matter, posterior capsulotomy or posterior continuous curvilinear capsulorhexis, anterior vitrectomy, 0.1c.c intravitreal dexamethasone injection. All cases remained on topical steroids and cycloplegic eye drops for six weeks. Patients were followed on first postoperative day and first postoperative week for detection of early postoperative complications. Then patients were followed after three months, six months and one year. In every visit patients were evaluated including funduscopy, cycloplegic retinoscopy and record of intraocular pressure. Results: A total 30 eyes of 30 patients were evaluated before surgical intervention. There were 22 male and 8 female patients . Age range was between 4 months to 2 years. Aphakic glaucoma was observed in 7% of patients. Posterior capsular opacification was seen in 64% (Table 1). There were no reported intraoperative complications. After cataract surgery, all eyes were treated with corticosteroids and antibiotic eyedrops for eight weeks. Postoperatively there were no case of corneal decomprensation or endophthalmitis. . The incidence was noticed in patients less than one year of age and cataract surgery was performed under four months of age. Conclusion: Aphakic glaucoma is higher in patients who were operated within twelve months of age for congenital cataractshttps://www.journalrmc.com/index.php/JRMC/article/view/400Congenital cataractsPosterior capsular opacificationAphakic glaucoma |
| spellingShingle | Khalid Waheed Aphakic Glaucoma after Paediatric Cataract Surgery Journal of Rawalpindi Medical College Congenital cataracts Posterior capsular opacification Aphakic glaucoma |
| title | Aphakic Glaucoma after Paediatric Cataract Surgery |
| title_full | Aphakic Glaucoma after Paediatric Cataract Surgery |
| title_fullStr | Aphakic Glaucoma after Paediatric Cataract Surgery |
| title_full_unstemmed | Aphakic Glaucoma after Paediatric Cataract Surgery |
| title_short | Aphakic Glaucoma after Paediatric Cataract Surgery |
| title_sort | aphakic glaucoma after paediatric cataract surgery |
| topic | Congenital cataracts Posterior capsular opacification Aphakic glaucoma |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/400 |
| work_keys_str_mv | AT khalidwaheed aphakicglaucomaafterpaediatriccataractsurgery |