Buscar en
Archivos de la Sociedad Española de Oftalmología (English Edition)
Toda la web
Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Elevated intraocular pressure in paediatric cataract surgery in a reference cent...
Journal Information
Share
Share
Download PDF
More article options
Visits
3
Original article
Elevated intraocular pressure in paediatric cataract surgery in a reference centre
Presión intraocular elevada en catarata pediátrica intervenida en un centro de referencia
Visits
3
S. Mediero
Corresponding author
soraya_mediero@hotmail.com

Corresponding author.
, J. Peralta Calvo, N. Pastora Salvador, J. Abelairas Gómez
Departamento de Oftalmología, Hospital Universitario La Paz, Madrid, Spain
This item has received
Received 27 November 2018. Accepted 09 May 2019
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (4)
Show moreShow less
Tables (1)
Table 1. Time from cataract extraction surgery to emergence of increased postoperative intraocular pressure.
Abstract
Objective

To study elevated postoperative intraocular pressure (PIOP) after paediatric cataract surgery in a reference center and to compare the results obtained with the most relevant world literature.

Materials and methods

A retrospective observational study was conducted, collecting information from clinical records of 99 patients (142 eyes) operated on due to unilateral or bilateral paediatric cataracts between 2000 and 2008.

Results

The proportion of eyes with PIOP20mmHg and bilateral cataracts was higher, 79.3%, than the proportion of eyes with PIOP20mmHg and a unilateral cataract, 20.7% (p=0.032). The proportion of eyes with PIOP20mmHg between the eyes with cataract surgery before one month of age was higher, 50%, than between the eyes in which the cataract surgery was performed after one month of age, 17.2% (p=0.009). PIOP values20mmHg were associated with a lower best corrected visual acuity at 5 years after cataract surgery (p=0.020). The proportion of eyes with PIOP20mmHg and without intraocular lenses was higher, 69%, than the proportion of eyes with PIOP20mmHg and intraocular lenses, 31% (p<0.001).

Conclusions

A PIOP>20mmHg was observed in 20.4% of eyes in a 5-year follow-up period, appearing more frequently in eyes with bilateral cataract than unilateral, and in aphakic eyes more than pseudophakic eyes. Elevation of the PIOP was associated with the performance of cataract surgery at early ages.

Keywords:
Paediatric cataract
Intraocular pressure
Glaucoma
Pseudophakia
Aphakia
Resumen
Objetivo

Estudiar la presión intraocular postoperatoria (PIOP) elevada tras la intervención de catarata pediátrica en un centro de referencia y comparar los resultados obtenidos con aquellos más relevantes de la literatura mundial.

Materiales y métodos

Estudio retrospectivo observacional. Recogida de información de historias clínicas de 99 pacientes (142 ojos) operados de catarata pediátrica unilateral o bilateral entre los años 2000 y 2008.

Resultados

La frecuencia de PIOP elevada ≥20mmHg) fue de 79,3% en el grupo de catarata bilateral frente al 20,7% en el grupo de catarata unilateral (p=0,032). La frecuencia de PIOP elevada entre los ojos con cirugía de catarata antes del mes de edad fue mayor, 50%, que entre los ojos en los que la cirugía de catarata se realizó después del mes de edad, 17,2% (p=0,009). Los valores de PIOP20mmHg se asociaron con una menor agudeza visual mejor corregida a los 5 años de la cirugía de catarata (p=0,020). La proporción de ojos con PIOP20mmHg y sin lentes intraoculares fue mayor, 69%, que la proporción de ojos con PIOP20mmHg y lentes intraoculares, 31% (p<0,001).

Conclusiones

Un 20,4% del total de ojos estudiados presentaron PIOP elevada20mmHg en un periodo de seguimiento de 5 años, apareciendo con más frecuencia en aquellos con catarata bilateral que unilateral, y en ojos afáquicos que en pseudofáquicos. La elevación de la PIOP se asoció con la realización de la cirugía de la catarata a edades tempranas.

Palabras clave:
Catarata pediátrica
Presión intraocular
Glaucoma
Pseudofaquia
Afaquia

Article

These are the options to access the full texts of the publication Archivos de la Sociedad Española de Oftalmología (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Archivos de la Sociedad Española de Oftalmología (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos