Reply

We appreciate the interest of Sukhija and associates in our manuscript. They note that intraocular pressure (IOP) has been reported to be lower in infants than adults and for this reason they propose that IOP should be considered to be raised at a lower threshold than >21 mm Hg in children. Although it is probably true that IOP is lower during early infancy, it rises to adult levels during childhood. For this reason, the international standard for pediatric glaucoma studies for a raised IOP continues to be >21 mm Hg. As stated in the Methods section, topical corticosteroids were generally used for 4 weeks after cataract surgery. This steroid regimen adequately controlled postoperative inflammation in these eyes. The only additional intraocular surgeries performed in these eyes were glaucoma surgeries and secondary IOL implantation. Gonioscopy was performed on all of these eyes but was not reported because of space limitations. None of the patients had significant angle-closure issues or a family history of childhood-onset glaucoma. An IOP trend analysis was not performed because of the many uncontrolled variables that can influence IOP in a retrospective study.