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The natural history of glaucoma and ocular hypertension after pediatric cataract surgery.

Publication ,  Journal Article
Egbert, JE; Christiansen, SP; Wright, MM; Young, TL; Summers, CG
Published in: J AAPOS
February 2006

INTRODUCTION: We sought to define the prevalence and natural history of ocular hypertension and glaucoma for at least a 10-year period after pediatric cataract surgery. METHODS: We conducted a prospective observational study of patients who received pediatric cataract surgery. Inclusion criteria included 2 directed ophthalmologic examinations performed at a minimum of 5 and 10 years after surgery. RESULTS: A total of 63 patients (22 with bilateral cataracts and 41 with unilateral cataracts) were examined at a median of 15.1 year (range, 10.3-21.3 years) after surgery. A majority of the subjects had glaucoma or ocular hypertension (ie, 59%; 37/63). Nineteen percent (12/63) had glaucoma (5/22 with bilateral cataracts and 7/41 with unilateral cataracts). Approximately half (7/12) had developed glaucoma during the first 5-year observational period and the remainder (5/12) developed it during the following observational period. Forty percent (25/63) of the patients had ocular hypertension in at least one aphakic eye (9/23 with bilateral cataracts and 16/40 with unilateral cataracts). The rate of progression from ocular hypertension to glaucoma over a mean observational period of 7.2 years (range, 6.2-8.1 years) was 23% (5/22). DISCUSSION: Patients who receive surgery for pediatric cataracts are at very high risk of developing ocular hypertension and glaucoma. Patients can develop late-onset glaucoma and ocular hypertension more than 10 years after surgery. Years of ocular hypertension may precede the diagnosis of late-onset glaucoma.

Duke Scholars

Published In

J AAPOS

DOI

ISSN

1091-8531

Publication Date

February 2006

Volume

10

Issue

1

Start / End Page

54 / 57

Location

United States

Related Subject Headings

  • Time Factors
  • Risk Factors
  • Retrospective Studies
  • Prospective Studies
  • Prognosis
  • Ophthalmology & Optometry
  • Ocular Hypertension
  • Minnesota
  • Intraocular Pressure
  • Incidence
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Egbert, J. E., Christiansen, S. P., Wright, M. M., Young, T. L., & Summers, C. G. (2006). The natural history of glaucoma and ocular hypertension after pediatric cataract surgery. J AAPOS, 10(1), 54–57. https://doi.org/10.1016/j.jaapos.2005.07.002
Egbert, James E., Stephen P. Christiansen, Martha M. Wright, Terri L. Young, and C Gail Summers. “The natural history of glaucoma and ocular hypertension after pediatric cataract surgery.J AAPOS 10, no. 1 (February 2006): 54–57. https://doi.org/10.1016/j.jaapos.2005.07.002.
Egbert JE, Christiansen SP, Wright MM, Young TL, Summers CG. The natural history of glaucoma and ocular hypertension after pediatric cataract surgery. J AAPOS. 2006 Feb;10(1):54–7.
Egbert, James E., et al. “The natural history of glaucoma and ocular hypertension after pediatric cataract surgery.J AAPOS, vol. 10, no. 1, Feb. 2006, pp. 54–57. Pubmed, doi:10.1016/j.jaapos.2005.07.002.
Egbert JE, Christiansen SP, Wright MM, Young TL, Summers CG. The natural history of glaucoma and ocular hypertension after pediatric cataract surgery. J AAPOS. 2006 Feb;10(1):54–57.
Journal cover image

Published In

J AAPOS

DOI

ISSN

1091-8531

Publication Date

February 2006

Volume

10

Issue

1

Start / End Page

54 / 57

Location

United States

Related Subject Headings

  • Time Factors
  • Risk Factors
  • Retrospective Studies
  • Prospective Studies
  • Prognosis
  • Ophthalmology & Optometry
  • Ocular Hypertension
  • Minnesota
  • Intraocular Pressure
  • Incidence