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The authors performed transscleral diode laser cyclophotocoagulation in ten eyes with refractory glaucoma following penetrating keratoplasty. The treatment was repeated 1.5 ± 0.7 times (mean ± SD). They were followed up for 238 ± 62 days after the initial treatment. The intraocular pressure (IOP) averaged 37.2 ± 8.5 mmHg before the treatment and 18.4 ± 10.5 mmHg at the end of the follow-up, IOP was well-controlled in eight eyes but not in two. The corneal grafts were transparent in five eyes before treatment and in four eyes after treatment. Severe complications were corneal perforation in one eye and loss of light perception in two eyes, despite well-controlled IOP. These cases illustrate that the present therapeutic modality is useful for refractory glaucoma following penetrating keratoplasty. LA: Japanese
Dr T. Kasuya, Department of Ophthalmology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 1-37-1 Kamiikebukuro, Toshima-ku, Tokyo 170-8455, Japan
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)