| 녹F-049 |
| Incidence and Risk for Glaucoma after Pediatric Cataract Surgery in Patients with Microphthalmia |
| 1) 서울대학교 의과대학 안과학교실
2) 서울대학교병원 안과 |
| 김정아 (1, 2), 유영석 (1, 2), 박기호 (1, 2), 김동명 (1, 2), 정진욱 (1, 2) |
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목적 : To evaluate the incidence and risk of glaucoma development in children with microphthalmia undergoing surgery for congenital or infantile cataract with or without intraocular lens (IOL) implantation.
방법 : We retrospectively reviewed records of children with microphthalmia who underwent congenital cataract surgery with at least 5 years follow-up. We analyzed the probability and risk factor of developing glaucoma.
결과 : Thirty-eight eyes of 19 children were included. The mean age at surgery was 3.2 ± 1.7 months and mean follow-up period was 7.1 ± 2.7 years. Eleven eyes (28.95%) developed glaucoma. Among them, 3 eyes were performed Ahmed glaucoma valve implantation surgery. Mean axial length of eyes with glaucoma was shorter than that of eyes without glaucoma. Corneal diameter, age at the cataract surgery, and IOL implantation did not affect the incidence of glaucoma. The probability of an eye’s developing glaucoma was estimated to be 51.3% by 10 years after surgery.
결론 : Long-term monitoring after pediatric cataract surgery in patients with microphthalmia is important because eyes will develop glaucoma in half of patients by 10 years after cataract surgery.
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