Alanna Wood1, Robyn Jamieson2,3,4, John Grigg5,6

Purpose: To determine the prevalence, and time to progression, of glaucoma following paediatric cata- ract surgery.
Method: The research design was a retrospective case series, with a patient population being drawn from patients who had undergone cataract surgery of either one or both eyes between 2003 and 2017.

The medical records of patients aged 16 years or younger, identified as having congenital cataract, from a tertiary children’s hospital were reviewed. The primary outcome measure was the detection of secondary glaucoma following surgery and second- ary outcome measure postoperative time frame to development of glaucoma.
Results: A total of 430 patient records were reviewed (555 eyes). Secondary glaucoma devel- oped in 9.09% of eyes. The mean post-surgical follow-up was 4.96 years (SD 3.82 years). In those that developed glaucoma, the average time to onset was 6.54 years (range 3.72 – 11.87 years). The mean age at time of surgery was 5.73 years (range 11 months to 14 years).
Conclusion: Despite modern surgical techniques and intraocular lens implantation glaucoma remains a significant long term sequalae in children follow- ing cataract surgery.