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Choe S, Ha A, Choi S, Baek SU, Kim JS, Jeoung JW, Park KH, Kim YK. Nationwide Incidence of Infantile Cataract Surgery and Risk of Secondary Glaucoma in a Population-based Birth Cohort. Am J Ophthalmol 2023; 246:130-140. [PMID: 36328202 DOI: 10.1016/j.ajo.2022.10.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 10/05/2022] [Accepted: 10/18/2022] [Indexed: 11/05/2022]
Abstract
PURPOSE To determine the nationwide birth cohort incidence of infantile cataract (IC) surgery and the risk of secondary glaucoma in a Korean population. DESIGN A population-based, retrospective cohort study. METHODS We accessed the Korean National Health Claims database to identify patients with IC who were diagnosed before 1 year of age and who underwent IC surgery among all Koreans born between 2008 and 2018 (n = 9,593,003). We estimated IC surgery incidence in a birth cohort. The incidence rates of post-IC surgery glaucoma were estimated per 100 person-years, based on the Poisson distribution. The risk factors for post-IC surgery glaucoma, including ophthalmic and systemic comorbidities, were analyzed by multivariable logistic regression analysis. RESULTS During the 11-year study period, 692 patients underwent IC surgery. The annual birth cohort incidence of IC surgery in the general population ranged from 5.10 to 9.29 cases per 100,000 individuals. Among patients who had been followed up for longer than 1 year (n = 650), 92 (14.2%) developed glaucoma, and its incidence rate was 2.29 (95% confidence interval, 1.86-2.80) per 100 person-years. The mean time from IC surgery to glaucoma development was 4.7 ± 3.5 years. No factors were identified as being associated with post-IC surgery glaucoma risk other than primary or secondary intraocular lens implantation, which reduces the risk (all P < .05). In patients without primary intraocular lens implantation, the risk of glaucoma increased steeply during the first 2 years after IC surgery. CONCLUSION This study identified the birth cohort incidence of IC surgery and secondary glaucoma risk in individuals of East Asian ethnicity. These estimates may help to better understand the epidemiologic features and clinical courses of patients with IC.
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Affiliation(s)
- Sooyeon Choe
- From the Department of Ophthalmology (S.Choe, J.W.J., K.H.P., Y.K.K.), Seoul National University College of Medicine, Seoul; Departments of Ophthalmology (S.Choe, J.W.J., K.H.P., Y.K.K.), Seoul National University Hospital, Seoul
| | - Ahnul Ha
- Departments of Ophthalmology at Jeju National University Hospital and Jeju National University College of Medicine (A.H.).
| | - Seulggie Choi
- Internal Medicine (S. Choi), Seoul National University Hospital, Seoul
| | - Sung Uk Baek
- Jeju-si; Departments of Ophthalmology at Hallym University College of Medicine, Chuncheon; Hallym University Sacred Heart Hospital (S.U.B.), Anyang
| | - Jin-Soo Kim
- Department of Ophthalmology (J-S.K.), Chungnam National University Sejong Hospital, Sejong
| | - Jin Wook Jeoung
- From the Department of Ophthalmology (S.Choe, J.W.J., K.H.P., Y.K.K.), Seoul National University College of Medicine, Seoul; Departments of Ophthalmology (S.Choe, J.W.J., K.H.P., Y.K.K.), Seoul National University Hospital, Seoul
| | - Ki Ho Park
- From the Department of Ophthalmology (S.Choe, J.W.J., K.H.P., Y.K.K.), Seoul National University College of Medicine, Seoul; Departments of Ophthalmology (S.Choe, J.W.J., K.H.P., Y.K.K.), Seoul National University Hospital, Seoul
| | - Young Kook Kim
- From the Department of Ophthalmology (S.Choe, J.W.J., K.H.P., Y.K.K.), Seoul National University College of Medicine, Seoul; Departments of Ophthalmology (S.Choe, J.W.J., K.H.P., Y.K.K.), Seoul National University Hospital, Seoul; Department of Pediatric Ophthalmology (Y.K.K.), Seoul National University Children's Hospital, Seoul; EyeLight Data Science Laboratory (Y.K.K.), Seoul, Korea.
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