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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Main Authors: Ammar M. Al-Mahmood, Samar A. Al-Swailem, Deepak P. Edward
Format: Article
Language:English
Published: Wiley 2012-01-01
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.
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institution Kabale University
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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