DOI: 10.36347/sjams.2022.v10i08.023

Pages: 1296-1299

Background: Glaucoma is a typical side effect of juvenile cataract surgery. According to various research, it seems to have a bimodal occurrence. In Bangladesh, these difficulties constitute a hardship. Objective: In this study our main aim is to evaluate the prevalence and Risk Factors of Glaucoma Following Pediatric Cataract Surgery with Primary Implantation in Tertiary Eye Hospital. Method: This cross-sectional study was carried out at tertiary eye hospital, Bangladesh from August 2021 to June 2022. Where a total of 200 children who underwent unilateral or bilateral cataract surgery with primary IOL implantation in the first year of their life. All eyes presenting with an isolated cataract or an anterior form of persistence of fetal vasculature not requiring posterior vitrectomy or a moderate microphthalmia allowing primary IOL implantation and with a follow-up of >1year were included in the study. Results: During the study, 70% were female and majority were belong to 7-12 years age group, 55%. According to Intraoperative, and Postoperative Characteristics of study group where bilateral cataract was seen in 45% cases followed by 49% cases were capsular bag, 37% cases were sulcus, 46% used trypan bag. Comparing the SG group to the group that did not develop glaucoma, follow-up time was longer (mean 7,5 vs 5.6 years, P<.001), age at surgery was lower (mean 4 vs 5.0 years; P¼.045), reintervention was more frequent (P<.001), and trypan blue was used more frequently (P¼.008). In univariate analysis, the following factors were significantly associated with an increased risk of SG: axial length<16.5 mm, bilateral cataract, perioperative use of trypan blue, additional surgical procedures, and younger age at surgery. Conclusion: We may infer that the risk of SG increases with time, and that SG appears to have a bimodal occurrence, with an estimated linear incidence rate each year. Follow-up should begin quickly after surgery and last for a long time, and clinicians ......