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Cataract Surgery in Infancy May Raise Glaucoma Risk in Childhood

News Picture: Cataract Surgery in Infancy May Raise Glaucoma Risk in Childhood

TUESDAY, Dec. 22, 2020 (HealthDay News)

Infants who have cataract removing surgical treatment are at increased threat for sight-threatening glaucoma later on in childhood, scientists say.

Glaucoma damages the optic nerve — the link between the eye and brain — and can guide to eyesight loss.

Fewer than two,500 infants are born with a cataract (clouding of the eye’s lens) every single yr in the United States. Surgery is applied to get rid of the impacted lens. Some infants acquire a lens implant even though other people go with no a lens and use a contact lenses (for 1 eye) or eyeglasses (for two eyes) to assist them emphasis properly.

This prolonged-phrase research provided a hundred and ten kids who ended up born with a cataract in 1 eye and experienced the cataract eradicated when they ended up aged one-six months. They ended up randomly assigned to acquire an artificial lens implant or go with no a lens.

Ten decades immediately after cataract removing surgical treatment, kids in both teams experienced a 22% threat of glaucoma, according to the U.S. Nationwide Eye Institute (NEI)-funded research, revealed Dec. 17 in the journal JAMA Ophthalmology.

“The effects challenge the notion that replacing the child’s lens with an implanted 1 protects the youngster from establishing glaucoma, a perception between some pediatric ophthalmology surgeons,” mentioned research principal investigator Dr. Scott Lambert, a professor of ophthalmology at Stanford University in California.

20-five eyes (24%) experienced developed glaucoma and 21 eyes (twenty%) experienced suspected glaucoma owing to increased eye tension.

The life span glaucoma threat for individuals who have cataract removing as infants isn’t regarded, but this research discovered that the threat rose from nine% at one yr, to 17% at 5 decades, and to 22% at 10 decades.

“These findings underscore the require for prolonged-phrase glaucoma surveillance between toddler cataract surgical treatment individuals. They also present some measure of assurance that it is not vital to spot an intraocular lens at the time of cataract surgical treatment,” NEI Director Dr. Michael Chiang mentioned in an institute news release.

“Any youngster who has experienced a cataract eradicated requires to be found by an eye care service provider as soon as a yr at a minimum amount,” mentioned research guide creator Dr. Sharon Freedman, a pediatric glaucoma expert at Duke University in Durham, N.C.

“Any youngster diagnosed with glaucoma or above-ordinary intraocular tension with no signs of ocular harm — what we named glaucoma suspect — ought to be monitored each four to six months relying on the stability of the ailment and the wellbeing of the eye,” Freedman mentioned in the release.

Extra information

The American Academy of Ophthalmology has additional on cataracts in kids.

Resource: U.S. Nationwide Eye Institute, news release, Dec. 17, 2020

Robert Preidt

MedicalNews
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