advertisement
The authors reviewed 183 eyes that received penetrating keratoplasty during the past 67 months. These were followed up for one month or longer after surgery. The authors tried to identify factors involved in postoperative ocular hypertension. Keratoplasty was performed for inflammatory and non-inflammatory eye diseases. The former comprised 134 eyes and included bullous keratopaty (51 eyes), corneal leukoma (49 eyes), corneal perforation (14 eyes), etc. The latter comprised 49 eyes and included keratoconus (40 eyes) and corneal dystrophy (nine eyes). Postoperatively, ocular hypertension of more than 22 mmHg occurred in 39% of eyes with inflammatory diseases and in 41% of eyes with non-inflammatory ones. There was no statistical significance between the two groups. It appeared that ocular hypertension in the inflammatory group was due to anatomical or functional problems in the chamber angle. The incidence of steroid-induced ocular hypertension was 15% in the inflammatory group and 65% in the non-inflammatory group. This difference was significant (p < 0.0001). The findings show that ocular hypertension after penetrating keratoplasty may differ depending on causative diseases. LA: Japanese
N. Yamada, MD, Department of Biomolecular Recognition, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, Ube-shi 755-8503, 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)