Our Summary

This research paper examines changes in eye pressure after children aged 0-2 years undergo cataract surgery. The study includes 110 patients and looks at three groups: those who developed secondary glaucoma, those suspected of developing glaucoma, and those with high eye pressure. The study found no difference in surgical procedure, but the age at which the cataract surgery is performed mattered. Children who developed secondary glaucoma had the surgery significantly earlier, within the first 2-3 months of their lives. Also, these children required more follow-up surgeries. The development of secondary glaucoma was also linked to an increase in other complications, like obscured vision. However, other complications like involuntary eye movement, misalignment of the eyes, and lazy eye showed no difference among the groups.

FAQs

  1. Does the age at which a child undergoes cataract surgery influence the development of secondary glaucoma?
  2. Are there any other complications associated with the development of secondary glaucoma after cataract surgery in children?
  3. Is there a difference in the necessity of follow-up surgeries in children who develop secondary glaucoma compared to those who do not?

Doctor’s Tip

One helpful tip that a doctor might tell a patient about glaucoma surgery is to closely follow the post-operative care instructions provided by the surgeon. This may include using prescribed eye drops, attending follow-up appointments, and avoiding activities that could put pressure on the eyes. By following these instructions, patients can help ensure the success of the surgery and minimize the risk of complications.

Suitable For

Patients who are typically recommended glaucoma surgery are those who have not responded well to medication or other non-invasive treatments, have severe vision loss or damage to the optic nerve, have a rapidly progressing form of glaucoma, or have certain types of glaucoma that are difficult to manage with medication alone. Additionally, patients who have experienced complications from previous glaucoma surgeries or have a high risk of developing further complications may also be recommended for surgery.

Timeline

Before glaucoma surgery:

  1. Patient is diagnosed with glaucoma through comprehensive eye exams, including measuring eye pressure, examining the optic nerve, and testing visual field.
  2. Patient may undergo various treatments to manage glaucoma, such as eye drops, oral medications, laser therapy, or minimally invasive procedures.
  3. If glaucoma progresses despite treatment, the patient may be recommended for glaucoma surgery.

After glaucoma surgery:

  1. Patient undergoes the surgical procedure, which may involve creating a new drainage channel in the eye, implanting a drainage device, or performing laser surgery to improve drainage.
  2. Patient may experience temporary discomfort or blurred vision after surgery.
  3. Patient is closely monitored by their ophthalmologist to assess the success of the surgery, including measuring eye pressure and evaluating the optic nerve.
  4. Patient may need to continue using eye drops or other medications to manage eye pressure after surgery.
  5. Patient may require additional follow-up surgeries or treatments if glaucoma persists or worsens.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with glaucoma surgery?
  2. How long is the recovery period after glaucoma surgery?
  3. What type of anesthesia will be used during the surgery?
  4. Will I need to take any medications before or after the surgery?
  5. How successful is glaucoma surgery in lowering eye pressure?
  6. What alternative treatment options are available if glaucoma surgery is not successful?
  7. How often will I need to follow up with my doctor after the surgery?
  8. Are there any lifestyle changes I should make to help manage my glaucoma after surgery?
  9. What can I expect in terms of vision improvement after glaucoma surgery?
  10. How will the surgery impact my daily activities and quality of life?

Reference

Authors: Eibenberger K, Kiss B, Schmidt-Erfurth U, Stifter E. Journal: Eur J Ophthalmol. 2021 Nov;31(6):3309-3317. doi: 10.1177/1120672121991356. Epub 2021 Feb 1. PMID: 33525900