ISSN: 2155-9570
Caroline Baily
Ireland
Review Article
Paediatric Aphakic Glaucoma
Author(s): Caroline Baily and Michael O’KeefeCaroline Baily and Michael O’Keefe
Aphakic glaucoma is the most common long-term complication seen following congenital cataract surgery. It has a reported incidence of between 15% and 45%. Many risk factors have been identified including microcornea, early surgery, persistent fetal vasculature, congenital rubella syndrome, Lowe syndrome, chronic inflammation and retained lens material. Diagnosis is often difficult as the classic signs of congenital glaucoma such as epiphora, blepharospasm and buphthalmos are usually absent. Additionally, it is also difficult to perform accurate ocular examinations on young children and examination under anaesthesia is usually required. Surgical intervention is often required with medical treatment providing adjunctive therapy. Surgical techniques performed include trabeculectomy with or without antifibrotic agents, glaucoma drainage devices (valved and non-valved), cyclodestructive pr.. View More»
DOI:
10.4172/2155-9570.1000203