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This study aimed to determine the prevalence of late‐onset glaucoma after surgery for congenital cataracts in a cohort with long‐term follow‐up and to evaluate visual development following the diagnosis of postoperative glaucoma in comparison with no glaucoma development. Total glaucoma prevalence was 14.8%, including late and early onset, with a mean follow‐up of 23.2 ± 6.6 years. Life‐long follow‐up of all patients who have undergone surgery for congenital cataracts in childhood is recommended. Annual check‐ups of adults, including measurements of IOP and visual acuity, are recommended for patients with microphthalmos and/or who had surgery <3 Months of age.
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