Glaucoma and Corneal Transplant Procedures
Glaucoma after corneal transplantation is a leading cause of ocular morbidity after penetrating keratoplasty. The incidence reported is highly variable and a number of etiologic factors have been identified. A number of treatment options are available; surgical intervention for IOP control is associ...
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Format: | Article |
Language: | English |
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Wiley
2012-01-01
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Series: | Journal of Ophthalmology |
Online Access: | http://dx.doi.org/10.1155/2012/576394 |
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author | Ammar M. Al-Mahmood Samar A. Al-Swailem Deepak P. Edward |
author_facet | Ammar M. Al-Mahmood Samar A. Al-Swailem Deepak P. Edward |
author_sort | Ammar M. Al-Mahmood |
collection | DOAJ |
description | Glaucoma after corneal transplantation is a leading cause of ocular morbidity after penetrating keratoplasty. The incidence reported is highly variable and a number of etiologic factors have been identified. A number of treatment options are available; surgical intervention for IOP control is associated with a high incidence of graft failure. IOP elevation is less frequently seen following deep anterior lamellar keratoplasty. Descemet's striping-automated endothelial keratoplasty is also associated with postprocedure intraocular pressure elevation and secondary glaucoma and presents unique surgical challenges in patients with preexisting glaucoma surgeries. Glaucoma exists in up to three-quarters of patients who undergo keratoprosthesis surgery and the management if often challenging. The aim of this paper is to highlight the incidence, etiology, and management of glaucoma following different corneal transplant procedures. It also focuses on the challenges in the diagnosis of glaucoma and intraocular pressure monitoring in this group of patients. |
format | Article |
id | doaj-art-b956505c8df940109bd94f7caf21eff0 |
institution | Kabale University |
issn | 2090-004X 2090-0058 |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Ophthalmology |
spelling | doaj-art-b956505c8df940109bd94f7caf21eff02025-02-03T06:05:00ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/576394576394Glaucoma and Corneal Transplant ProceduresAmmar M. Al-Mahmood0Samar A. Al-Swailem1Deepak P. Edward2Department of Ophthalmology, Ministry of Health, Manama 12, BahrainDivision of Anterior Segment, King Khaled Eye Specialists Hospital, Riyadh 11462, Saudi ArabiaWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USAGlaucoma after corneal transplantation is a leading cause of ocular morbidity after penetrating keratoplasty. The incidence reported is highly variable and a number of etiologic factors have been identified. A number of treatment options are available; surgical intervention for IOP control is associated with a high incidence of graft failure. IOP elevation is less frequently seen following deep anterior lamellar keratoplasty. Descemet's striping-automated endothelial keratoplasty is also associated with postprocedure intraocular pressure elevation and secondary glaucoma and presents unique surgical challenges in patients with preexisting glaucoma surgeries. Glaucoma exists in up to three-quarters of patients who undergo keratoprosthesis surgery and the management if often challenging. The aim of this paper is to highlight the incidence, etiology, and management of glaucoma following different corneal transplant procedures. It also focuses on the challenges in the diagnosis of glaucoma and intraocular pressure monitoring in this group of patients.http://dx.doi.org/10.1155/2012/576394 |
spellingShingle | Ammar M. Al-Mahmood Samar A. Al-Swailem Deepak P. Edward Glaucoma and Corneal Transplant Procedures Journal of Ophthalmology |
title | Glaucoma and Corneal Transplant Procedures |
title_full | Glaucoma and Corneal Transplant Procedures |
title_fullStr | Glaucoma and Corneal Transplant Procedures |
title_full_unstemmed | Glaucoma and Corneal Transplant Procedures |
title_short | Glaucoma and Corneal Transplant Procedures |
title_sort | glaucoma and corneal transplant procedures |
url | http://dx.doi.org/10.1155/2012/576394 |
work_keys_str_mv | AT ammarmalmahmood glaucomaandcornealtransplantprocedures AT samaraalswailem glaucomaandcornealtransplantprocedures AT deepakpedward glaucomaandcornealtransplantprocedures |