Congenital cataract surgery with intracameral triamcinolone: Pre- and postoperative central corneal thickness and intraocular pressure

2012 ◽  
Vol 16 (5) ◽  
pp. 441-444 ◽  
Author(s):  
Marcelo Carvalho Ventura ◽  
Bruna Vieira Ventura ◽  
Camila Vieira Ventura ◽  
Liana Oliveira Ventura ◽  
Walton Nosé
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Central Corneal Thickness ◽  
Congenital Cataract ◽  
Corneal Thickness ◽  
Congenital Cataract Surgery

Goldmann applanation tonometer versus ocular response analyzer for measuring intraocular pressure after congenital cataract surgery

2018 ◽  
Vol 28 (5) ◽  
pp. 582-589
Author(s):  
Sepehr Feizi ◽  
Amir Faramarzi ◽  
Bahareh Kheiri
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Central Corneal Thickness ◽  
Congenital Cataract ◽  
Corneal Thickness ◽  
Corneal Hysteresis ◽  
Ocular Response Analyzer ◽  
Goldmann Applanation Tonometer ◽  
Applanation Tonometer ◽  
Congenital Cataract Surgery

Purpose: To compare intraocular pressure measured using the Goldmann applanation tonometer with that measured using the ocular response analyzer after congenital cataract surgery. Methods: This study included 113 eyes of 64 patients who underwent lensectomy and vitrectomy. In all, 36 eyes remained aphakic after surgery. Intraocular lens implantation was performed at the time of surgery in 47 eyes and secondarily in 30 eyes. Corneal hysteresis, corneal resistance factor, and cornea-compensated intraocular pressure were measured. The influences of independent factors on the difference between the cornea-compensated intraocular pressure and intraocular pressure measured with Goldmann applanation tonometer were investigated using linear regression analyses. Agreement between the two tonometers was investigated using the Bland and Altman and 95% limits of agreement analysis. Results: Central corneal thickness, corneal hysteresis, and corneal resistance factor were 591.2 ± 53.3 µm, 10.83 ± 2.27 mmHg, and 11.36 ± 2.14 mmHg, respectively. Cornea-compensated intraocular pressure (16.75 ± 4.82 mmHg) was significantly higher than intraocular pressure measured with Goldmann applanation tonometer (14.41 ± 2.27 mmHg, p < 0.001). Central corneal thickness (p = 0.02) and corneal hysteresis (p < 0.001) were identified as the main predictors of difference between cornea-compensated intraocular pressure and intraocular pressure measured with Goldmann applanation tonometer readings. A 95% limits of agreement for cornea-compensated intraocular pressure and intraocular pressure measured with Goldmann applanation tonometer was between −4.86 and 9.53 mmHg in the entire group. Cornea-compensated intraocular pressure showed the best agreement with intraocular pressure measured with Goldmann applanation tonometer in the primary pseudophakic subgroup as compared to the other subgroups. Conclusion: The Goldmann applanation tonometer and ocular response analyzer cannot be used interchangeably for measuring intraocular pressure after congenital cataract surgery. The difference between the cornea-compensated intraocular pressure and intraocular pressure measured with Goldmann applanation tonometer was primarily affected by central corneal thickness and corneal hysteresis. Among the subgroups, the primary pseudophakic subgroup had the thinnest cornea and the highest corneal hysteresis values and demonstrated the best agreement between the two tonometers.

scholarly journals A COMPARATIVE STUDY OF INCREASE IN CENTRAL CORNEAL THICKNESS FOLLOWING CONGENITAL CATARACT SURGERY IN CHILDREN

2017 ◽  
Vol 6 (72) ◽  
pp. 5142-5145
Author(s):  
Subbiah Vasan Chandrakumar ◽  
Sooravali Ibrahim Thasneemsuraiya ◽  
Anujoseph Anujoseph ◽  
Devadoss Sangeetha ◽  
Ganesan Vidhubala ◽  
...  
Keyword(s):  
Comparative Study ◽  
Cataract Surgery ◽  
Central Corneal Thickness ◽  
Congenital Cataract ◽  
Corneal Thickness ◽  
Congenital Cataract Surgery

Changes in central corneal thickness after congenital cataract surgery

2010 ◽  
Vol 36 (12) ◽  
pp. 2041-2047 ◽  
Author(s):  
Amir Faramarzi ◽  
Mohammad Ali Javadi ◽  
Mohammad Hossein Jabbarpoor Bonyadi ◽  
Mehdi Yaseri
Keyword(s):  
Cataract Surgery ◽  
Central Corneal Thickness ◽  
Congenital Cataract ◽  
Corneal Thickness ◽  
Congenital Cataract Surgery

Clinical characteristics and treatment of secondary glaucoma, glaucoma suspects and ocular hypertension after congenital cataract surgery

2021 ◽  
pp. 112067212199135
Author(s):  
Katharina Eibenberger ◽  
Barbara Kiss ◽  
Ursula Schmidt-Erfurth ◽  
Eva Stifter
Keyword(s):  
Intraocular Pressure ◽  
Cataract Surgery ◽  
Ocular Hypertension ◽  
Congenital Cataract ◽  
Case Series ◽  
Secondary Glaucoma ◽  
Visual Axis ◽  
Retrospective Case ◽  
Pediatric Cataract ◽  
Congenital Cataract Surgery

Objective: To evaluate changes in intraocular pressure after congenital cataract surgery in a real-world setting. Methods: This retrospective case series included all children aged 0–2 years undergoing lens extraction due to congenital cataract. Development of an elevated intraocular pressure was divided into three groups: secG, suspG and OHT. Further, risk factors for IOP changes, the therapeutic approach and functional outcome were assessed during follow-up. Results: One hundred and sixty-one eyes of 110 patients aged 0–2 years were included, whereof 29 eyes of 17 children developed secondary glaucoma (secG; 11 eyes/8 patients), glaucoma suspect (suspG; three eyes/three patients) or ocular hypertension (OHT; 15 eyes/10 patients). No difference in surgrical procedure ( p = 0.62) was found, but age at cataract surgery differed significantly ( p = 0.048), with the secG group (1.74 ± 1.01 months) being the youngest (suspG: 3.93 ± 1.80 months; OHT group: 5.91 ± 5.36 months). Secondary surgical intervention was significantly higher in the secG (4.64 ± 3.41) followed by the suspG (2.00 ± 2.65) and OHT groups (0.40 ± 0.74; p < 0.001). Postoperative complications including nystagmus ( p = 0.81), strabismus ( p = 0.98) and amblyopia ( p = 0.73) showed no difference, in contrast to visual axis obscuration which was more common in the secG group ( p = 0.036). Conclusion: Initial lensectomy and anterior vitrectomy procedure together with or without IOL implantation seems to have no influence for the development of IOP changes after pediatric cataract surgery. However, children who developed secondary glaucoma had cataract surgery significantly earlier, within the first 2–3 months of life. Glaucoma surgery was required to achieve final IOP control in most eyes. The development of secondary glaucoma was also associated with a significant increase in surgical re-treatments.

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