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The prevalence of secondary glaucoma after congenital cataract surgery and associated risk factors in a Tertiary Center in Iraq
, 2, 1
Affiliations- Ibn Al-Haitham Teaching Eye Hospital, Baghdad, Iraq
- Department of Surgery, College Of Medicine, Al-Qadisiyah University, Al-Diwaniya, Al-Diwaniya, Iraq
open access
Abstract
Background: The objective of this study was to find out the prevalence of glaucoma and its associated risk factors in children who underwent congenital cataract surgery.
Material and methods: A cross-sectional study was conducted at Ibn Al-Haitham Teaching Eye Hospital targeting children who had undergone congenital cataract surgery between January 2014 and March 2020, with a minimum follow-up of 1 year. The required information was obtained from clinical records of 422 patients operated by the same surgeon, and after exclusion criteria, the total sample was 375 patients and 512 eyes.
Results: The prevalence of secondary glaucoma was 4.69% of the total 512 eyes. The factors that significantly increased the risk of developing secondary glaucoma were female gender and surgery before the age of 9 months.
Conclusion: The prevalence of secondary glaucoma after congenital cataract surgery in a sample of Iraqi children was in the low range compared to other international studies, mainly attributed to more late presentation and relatively older age at surgery. The possible risk factors for developing secondary glaucoma included female gender and surgery before the age of 9 months. A close follow-up is needed for each patient after the congenital cataract study, especially for those for whom the surgery was performed before the age of 9 months, which carries a higher risk of secondary glaucoma.
Abstract
Background: The objective of this study was to find out the prevalence of glaucoma and its associated risk factors in children who underwent congenital cataract surgery.
Material and methods: A cross-sectional study was conducted at Ibn Al-Haitham Teaching Eye Hospital targeting children who had undergone congenital cataract surgery between January 2014 and March 2020, with a minimum follow-up of 1 year. The required information was obtained from clinical records of 422 patients operated by the same surgeon, and after exclusion criteria, the total sample was 375 patients and 512 eyes.
Results: The prevalence of secondary glaucoma was 4.69% of the total 512 eyes. The factors that significantly increased the risk of developing secondary glaucoma were female gender and surgery before the age of 9 months.
Conclusion: The prevalence of secondary glaucoma after congenital cataract surgery in a sample of Iraqi children was in the low range compared to other international studies, mainly attributed to more late presentation and relatively older age at surgery. The possible risk factors for developing secondary glaucoma included female gender and surgery before the age of 9 months. A close follow-up is needed for each patient after the congenital cataract study, especially for those for whom the surgery was performed before the age of 9 months, which carries a higher risk of secondary glaucoma.
Keywords
congenital cataract; secondary glaucoma; pseudophakia; intraocular pressure
About this articleTitle
The prevalence of secondary glaucoma after congenital cataract surgery and associated risk factors in a Tertiary Center in Iraq
Journal
Issue
Vol 7 (2022): Continuous Publishing
Article type
Original paper
Pages
219-226
Published online
2022-12-09
Page views
3423
Article views/downloads
364
DOI
Bibliographic record
Ophthalmol J 2022;7:219-226.
Keywords
congenital cataract
secondary glaucoma
pseudophakia
intraocular pressure
Authors
Mohammed Ihsan Alaa
Furkan Majed Hamied
Khitam Fakhir Al-Hasani
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