Diagnosing glaucoma in pediatric aphakia

Optometry. 2002 Nov;73(11):704-10.


Background: Cataracts pose a serious threat to the visual system in infants and children, requiring prompt surgical intervention and rehabilitation to optimize visual development. Glaucoma is a serious complication following cataract surgery in infants and can lead to loss of vision. Early diagnosis of glaucoma, however, can be quite challenging in these patients.

Case reports: Three cases are presented in which comeal edema was the initial presenting sign that led to the diagnosis of glaucoma during routine contact lens follow-up examinations for pediatric aphakia.

Conclusion: The contact lens practitioner, during the course of management of aphakic infants and children, should always be suspicious of glaucoma as a complication of cataract surgery, and the presenting sign may be corneal edema.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aphakia, Postcataract / complications*
  • Cataract / congenital
  • Cataract Extraction
  • Corneal Edema / diagnosis
  • Corneal Edema / etiology
  • Female
  • Glaucoma / diagnosis*
  • Glaucoma / etiology
  • Glaucoma / therapy
  • Humans
  • Infant
  • Infant, Newborn
  • Intraocular Pressure
  • Male
  • Visual Acuity