Long-term outcome of pediatric aphakic glaucoma

Rahul Bhola; Ronald V Keech; Richard J Olson; David B Petersen

doi:10.1016/j.jaapos.2006.01.005

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Long-term outcome of pediatric aphakic glaucoma

Journal article

Peer reviewed

Long-term outcome of pediatric aphakic glaucoma

Rahul Bhola, Ronald V Keech, Richard J Olson and David B Petersen

Journal of AAPOS, Vol.10(3), pp.243-248

06/2006

DOI: 10.1016/j.jaapos.2006.01.005

PMID: 16814178

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Abstract

To determine the long-term outcome in pediatric patients with aphakic glaucoma. A retrospective analysis of 130 patients diagnosed with aphakic glaucoma between 1969 and 2004 was performed. A total of 36 patients (55 eyes) were included in this study after excluding those who had cataract extraction after age 10 and those patients with other ocular conditions, systemic syndromes, traumatic cataracts, congenital glaucoma, or inadequate follow-up (less than 1 year). Outcome variables studied included visual acuity, number of medication changes required over the course of the follow-up, maximum number of medications used at a time for more than 6 months to control intraocular pressures, and surgical interventions required. Mean follow-up period was 18.7 years (range, 6.9-35 years). At the time of last follow-up, 54.5% of the patients had visual acuity 20/40 or better, 34.5% had 20/50 to 20/200, and 11% had acuity worse than 20/200. During the course of follow-up, 34% required 1 to 2 medication changes for controlling glaucoma, 33% required 3 to 5 medication changes, and 33% required 6 or more medication changes. Thirty-six percent of the eyes required a maximum of 1 to 2 medications for more than 6 months during the course of follow-up, 33% required 3, and 31% required 4 or more medications for controlling intraocular pressure. Of the 55 eyes, 15 eyes (27%) required surgical intervention. Six of the 15 eyes (40%) required 1 surgery, 8 eyes (53%) required 2 to 3 surgeries, and 1 eye (7%) required 4 to 6 surgeries. Patients with glaucoma after pediatric cataract surgery can have a good visual outcome although multiple medications and surgical interventions may be required to control the glaucoma.

Prognosis

Follow-Up Studies

Aphakia, Postcataract - complications

Humans

Child, Preschool

Intraocular Pressure - physiology

Infant

Male

Antihypertensive Agents - therapeutic use

Glaucoma - complications

Visual Acuity

Filtering Surgery

Time Factors

Adolescent

Adult

Female

Glaucoma - therapy

Retrospective Studies

Child

Glaucoma - physiopathology

Infant, Newborn

Aphakia, Postcataract - physiopathology

Details

Title: Subtitle: Long-term outcome of pediatric aphakic glaucoma
Creators: Rahul Bhola - Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52246, USA
Ronald V Keech
Richard J Olson
David B Petersen
Resource Type: Journal article
Publication Details: Journal of AAPOS, Vol.10(3), pp.243-248
DOI: 10.1016/j.jaapos.2006.01.005
PMID: 16814178
NLM abbreviation: J AAPOS
ISSN: 1091-8531
eISSN: 1528-3933
Publisher: Elsevier Inc; United States
Language: English
Date published: 06/2006
Academic Unit: Stead Family Department of Pediatrics; Ophthalmology and Visual Sciences
Record Identifier: 9983980011102771

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30 Times Cited - Web of Science