Titre | Incidence of glaucoma after bag-in-the-lens implantation in patients with congenital cataract. |
Abstract Nr. | 1021 |
But | To determine the incidence of glaucoma after congenital cataract surgery using bag-in-the-lens (BIL) implantation technique in paediatric eyes. |
Méthodes | The study compromised 185 eyes who had congenital cataract surgery with implantation of a BIL between December 1999 and December 2015. Patients with a history of previous intra-ocular surgery, uveitis, anterior segment dysgenesis, congenital glaucoma and traumatic cataract were excluded. Down patients and ectopia lentis patients were initially included. |
Résultats | 185 eyes of 120 congenital cataract patients (55 unilateral, 65 bilateral) were included. Patient’s age at time of surgery ranged from younger than 1 month to 17,5 years old, with a mean age of 56,5m old. Glaucoma after bag-in-the-lens IOL implantation, with an average follow-up of 52,65 ± 42,2 months, was found in 3 eyes. The glaucoma incidence in our total cohort was 1,62%. 5 glaucoma suspects are currently in close follow-up. As a risk-factor, only the presence of persistent foetal vasculature was statistically significant in our cohort. Although not statistically significant as a risk-factor, our glaucoma cases were all operated before the age of 12 months. |
Conclusion | The glaucoma incidence following bag-in-the-lens IOL implantation is low and thereby comparable to that seen published in recent publications studying the lens-in-the-bag (LIB) paediatric cataract surgery. Wide variation in study design in the literature precludes direct comparison. It might be prudent to emphasize the need for close follow-up of the youngest patients.There is a need for standardization in evaluating glaucoma after cataract surgery. Further prospective studies should be done to review the risk factors. |
Conflit d'intérêt | Oui |
Détails conflits d'intérêt | Dr. M.-J. Tassignon has intellectual property rights to the bag-in-the-lens intraocular lens (U.S. Patent 6 027 531, EU patent 009406794, PCT/120268), which is licensed to Morcher GmbH, Stuttgart, Germany. |
Nom | HELSEN |
Initiales | S |
Institut | UZA |
Ville | Edegem |
Nom | Kiekens |
Initiales | S |
Institut | UZA |
Ville | Edegem |
Nom | Verkest |
Initiales | V |
Institut | UZA |
Ville | Edegem |
Nom | Tassignon |
Initiales | MJ |
Institut | UZA |
Ville | Edegem |