Glaucoma following congenital cataract surgery: an 18-year longitudinal follow-up

Acta Ophthalmol Scand. 2000 Feb;78(1):65-70. doi: 10.1034/j.1600-0420.2000.078001065.x.


Purpose: To report the occurrence of postoperative glaucoma and to evaluate risk factors.

Methods: Children born in four of the western counties of Sweden who were diagnosed with congenital cataracts formed a cohort (n=137). The following parameters were evaluated: age at cataract surgery; type of surgery; visual outcome; postoperative IOP; optic disc abnormalities; date of onset of the complication; number of reoperations, including treatment for secondary cataract; presence of systemic anomalies; microphthalmus; and eye-related anomalies.

Results: A diagnosis of glaucoma was recorded for 12% of the eyes. The mean follow-up time was 9.6 years. There is a relationship between surgery before the age of 10 days and development of glaucoma. Microphthalmus is an important risk factor as well.

Conclusions: Despite modern surgical techniques the incidence of aphakic glaucoma is 10% or higher. No time-dependent increase in the incidence of late-onset glaucoma between the 1980s and the 1990s could be proven.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age of Onset
  • Aphakia, Postcataract / complications
  • Cataract / congenital*
  • Cataract Extraction / adverse effects*
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Glaucoma, Open-Angle / epidemiology
  • Glaucoma, Open-Angle / etiology*
  • Glaucoma, Open-Angle / surgery
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Intraocular Pressure
  • Male
  • Microphthalmos / complications
  • Prospective Studies
  • Reoperation
  • Risk Factors
  • Sweden / epidemiology
  • Visual Acuity
  • Vitrectomy