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Miscellaneous (20)

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Abstract #50404 Published in IGR 14-2

Angle Closure After Boston Keratoprosthesis

Panarelli JF; Ko A; Sidoti PA; Garcia JP; Banitt MR
Journal of Glaucoma 2013; 22: 725-729

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PURPOSE: To evaluate changes in the anterior chamber angle after Boston keratoprosthesis (KPro) placement. PATIENTS/METHODS: Ten patients were serially imaged with anterior segment optical coherence tomography after Boston KPro surgery. Angles were judged to be open or closed in the horizontal axis. RESULTS: Seven of 10 patients had open angles before KPro placement. Within 4 months, 4 of 7 patients developed angle closure. Contact between the iris and the backplate was seen in 3 of these patients. Two of the 4 eyes demonstrated progressive angle closure. Intraocular pressure was elevated in 3 patients postoperatively due to the obstruction of a glaucoma drainage device tube (1 eye) and angle closure (2 eyes). CONCLUSIONS: After Boston KPro surgery, patients must be carefully monitored for the onset or progression of glaucoma. Progressive angle closure can occur after placement of a Boston KPro and may be seen in conjunction with irido-backplate touch.

*Department of Ophthalmology, New York Eye and Ear Infirmary †New York Medical College, New York, NY ‡Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL.

Full article

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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)

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