Diagnosing glaucoma in pediatric aphakia.

Abstract

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.

• Authors: Vivian M Wang, Joseph L Demer, Arthur Rosenbaum, Barry A Weissman
• Journal: Optometry (St. Louis, Mo.) (Optometry) Vol. 73 Issue 11 Pg. 704-10 (Nov 2002) ISSN: 1529-1839 [Print] United States
• PMID: 12516800 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Topics

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