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Abstract #19711 Published in IGR 9-4
Penetrating keratoplasty with pars plana glaucoma drainage devices
Ritterband DC; Shapiro D; Trubnik V; Marmor M; Meskin S; Seedor J; Liebmann JM; Tello C; Koplin R; Harizman NCornea 2007; 26: 1060-1066
PURPOSE: To study the outcome of penetrating keratoplasty (PK) in eyes undergoing simultaneous insertion or repositioning of a glaucoma drainage device (GDD) through the pars plana. METHODS: The medical records of all patients who underwent PK and primary placement or repositioning of a GDD through the pars plana from April 1, 1997, through December 1, 2005, were reviewed. Intraocular pressure (IOP) control was defined as maintenance of IOP ≥5 and ≤21 mmHg (without loss of light perception vision or needing further glaucoma surgery). Kaplan-Meier life table survival analysis was used to estimate the success of graft survival (clarity) and glaucoma control. RESULTS: Eighty-three eyes of 80 patients (34 men and 46 women) were identified. Mean follow-up was 16 months (range, 6-96 months). PK and pars plana vitrectomy were performed with primary pars plana GDD insertion (57 eyes) or tube repositioning from the anterior chamber to pars plana (26 eyes). Grafts remained clear in 93% of eyes (76/83) at 6 months, 87% (56/66) at one year, and 59% (19/32) at two years. IOP was controlled in 87% (72/83) of eyes at 6 months, 95% (57/63) at one year, and 83% (20/24) at two years. CONCLUSIONS: PK with simultaneous pars plana GDD repositioning or placement showed comparable short- and long-term IOP control to that of previous studies with limbal-based GDD. The rate of corneal graft failure and the rate of immunologic rejection were comparable to or lower than those reported in other series with primary limbal-based GDD.
Dr. D.C. Ritterband, Ophthalmic Consultants PC, New York Eye and Ear Infirmary, 310 E. 14th Street, New York, NY 10003, USA. ritterband@msn.com
Classification:
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)