advertisement
Abstract #3552 Published in IGR 4-2
A study of glaucoma after penetrating keratoplasty
Franca ET; Arcieri ES; Arcieri RS; Rocha FJCornea 2002; 21: 284-288
PURPOSE: To identify the incidence and risk factors associated with the development of glaucoma after penetrating keratoplasty. METHODS: A retrospective study was carried out in 228 patients who underwent penetrating keratoplasty from January 1995 to January 2000 at the Cornea Section of the Ophthalmology Service at the School of Medicine, Federal University of Uberlandia MG, Brazil. Follow-up time ranged from four to 60 months (mean, 17.14 ± 13.65). RESULTS: Two hundred and twenty-eight patients undergoing penetrating keratoplasty were evaluated 49 (21.5%) of whom developed glaucoma. Risk factors for developing glaucoma were bullous keratopathy (relative risk (RR) = 2.1774), herpesvirus (RR = 1.8979), and trauma (RR = 1.0575). Mean intraocular pressure (IOP) before transplantation was 15.26 ± 5.37 mmHg. IOP after transplantation ranged from 22-58 mmHg, with a mean value of 30.04 ± 7.06 mmHg. Thirty-six (73.5%) patients had medical treatment, ten (20.4%) had medical and surgical treatment, and three (6.1%) had surgical treatment. Final IOP ranged from 4-34 mmHg (mean, 16.79 ± 5.36). CONCLUSIONS: The incidence of glaucoma after penetrating keratoplasty is high, and the risk factors include aphakic/pseudophakic bullous keratopathy, herpes simplex virus, and trauma.
Dr. E.T. Franca, Department of Ophthalmology, School of Medicine, Federal University of Uberlandia, Minas Gerais, Brazil. franca@centershop.com.br
Classification:
9.4.11.4 Glaucomas associated with corneal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)