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Abstract #8554 Published in IGR 5-1
Cataract formation after initial trabeculectomy in young patients
Adelman RA; Brauner SC; Afshari NA; Grosskreutz CLOphthalmology 2003; 110: 625-629
OBJECTIVE: To evaluate the risk of cataract formation in young patients after initial trabeculectomy. DESIGN: Retrospective, noncomparative case series. PARTICIPANTS: Thirty-four eyes from 27 patients undergoing initial trabeculectomy at the Glaucoma Consultation Service, Massachusetts Eye and Ear Infirmary (mean age, 43.7 years; range, 12-54 years). INTERVENTION: Follow-up averaged 42.6 months (range, 11-90 months). METHODS: Lens status was observed before surgery and at three and six months, and at one, two, three, four, five, and six years after initial trabeculectomy. MAIN OUTCOME MEASURE: The main outcome measure was defined as cataract extraction for visually significant lenticular opacifications that developed after trabeculectomy. RESULTS: The rate of cataract extraction after initial trabeculectomy was 24% (n = 8). The average time from trabeculectomy to cataract extraction was 26 months (range, 5-58 months). Progression of lenticular opacities occurred throughout the follow-up period. There was no increased rate of cataract formation in subjects with uveitic and steroid-induced glaucoma when compared with all other types of glaucoma. In the patients with both eyes in the study, the first eye was a predictor of cataract progression in the fellow eye. CONCLUSIONS: Cataract is a common complication after trabeculectomy in young patients. The 24% rate of cataract extraction after trabeculectomy reported in this study is a significant risk of which young patients contemplating surgery should be aware.
Dr. R.A. Adelman, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
