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Abstract #15942 Published in IGR 2-3
Glaucoma following keratoplasty
Redbrake C; Arend OOphthalmologe 2000; 97: 552-556
BACKGROUND: Recent studies have shown that increased intraocular pressure following keratoplasty may cause progressive endothelial cell loss and thereby lead to early transplant failure. This study examined risk groups for development of postoperative glaucoma and thereby transplant failure. MATERIAL AND METHODS: Seventy-five patients with various diagnoses were followed up prospectively for two, four, six, 12, 24, 36, 48, and 60 months. RESULTS: Of the 75 patients, 22 showed elevated intraocular pressure after keratoplasty. One-third of these (n = 7) developed a chronic secondary glaucoma. The main risk factor was a preexisting glaucoma (p < 0.05, c2 test), followed by aphakia, especially if aphakia was present before keratoplasty. Three of the six patients with anterior synechia had increased intraocular pressure. Because of the small number of patients neither factors reached statistical significance. CONCLUSIONS: Intraocular pressure should be closely monitored especially in high-risk patients, although its measurement may not be exact by Schiotz and Goldmann tonometry. Digital impression and controls of the visual field should be carried out additionally.LA: German
Dr. C. Redbrake, Augenklinik der RWTH Aachen, Pauwelsstrasse 30, 52057 Aachen, Germany
Classification:
9.4.2 Glaucomas associated with disorders of the cornea, conjunctiva, sclera (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
