Glaucoma after Penetrating Keratoplasty: Incidence, Risk Factors, and Management
Purpose. To report the incidence and risk factors for postkeratoplasty glaucoma (PKG), as well as its management. Subjects and Methods. 122 eyes, (43% with pseudophakic and aphakic bullous keratopathy (PABK)) which underwent penetrating keratoplasty (PK), were analyzed. Results. The rate of PKG dev...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2011/951294 |
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| _version_ | 1849468226410381312 |
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| author | Nilgun Yildirim Huseyin Gursoy Afsun Sahin Ahmet Ozer Ertugrul Colak |
| author_facet | Nilgun Yildirim Huseyin Gursoy Afsun Sahin Ahmet Ozer Ertugrul Colak |
| author_sort | Nilgun Yildirim |
| collection | DOAJ |
| description | Purpose. To report the incidence and risk factors for postkeratoplasty glaucoma (PKG), as well as its management. Subjects and Methods. 122 eyes, (43% with pseudophakic and aphakic bullous keratopathy (PABK)) which underwent penetrating keratoplasty (PK), were analyzed.
Results. The rate of PKG development was 34% within 39 months of follow-up. PABK, corneal perforations, keratitis, and previous high intraocular pressure (PHIOP) were high risk factors for PKG. Glaucoma was controlled medically in 62% of PKG cases. Surgery (Ex-PRESS shunt in 63%) and diode laser cyclophotocoagulation were applied in others (38%). The rate of postoperative complications and graft survival was similar in eyes with and without PKG. Conclusion. PHIOP, preoperative diagnoses other than keratoconus, and corneal dystrophies were highly associated with PKG. Ex-PRESS shunts were effective in refractory PKG. If glaucoma is controlled, it is possible to obtain similar rates of graft survival and postoperative complications in eyes with and without PKG. |
| format | Article |
| id | doaj-art-ffcb2b7c909b45b4a186675379da07ba |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-ffcb2b7c909b45b4a186675379da07ba2025-08-20T03:25:54ZengWileyJournal of Ophthalmology2090-004X2090-00582011-01-01201110.1155/2011/951294951294Glaucoma after Penetrating Keratoplasty: Incidence, Risk Factors, and ManagementNilgun Yildirim0Huseyin Gursoy1Afsun Sahin2Ahmet Ozer3Ertugrul Colak4Department of Ophthalmology, Eskisehir Osmangazi University Medical Faculty, 26480 Eskisehir, TurkeyDepartment of Ophthalmology, Eskisehir Osmangazi University Medical Faculty, 26480 Eskisehir, TurkeyDepartment of Ophthalmology, Eskisehir Osmangazi University Medical Faculty, 26480 Eskisehir, TurkeyDepartment of Ophthalmology, Eskisehir Osmangazi University Medical Faculty, 26480 Eskisehir, TurkeyDepartment of Biostatistics, Eskisehir Osmangazi University Medical Faculty, 26480 Eskisehir, TurkeyPurpose. To report the incidence and risk factors for postkeratoplasty glaucoma (PKG), as well as its management. Subjects and Methods. 122 eyes, (43% with pseudophakic and aphakic bullous keratopathy (PABK)) which underwent penetrating keratoplasty (PK), were analyzed. Results. The rate of PKG development was 34% within 39 months of follow-up. PABK, corneal perforations, keratitis, and previous high intraocular pressure (PHIOP) were high risk factors for PKG. Glaucoma was controlled medically in 62% of PKG cases. Surgery (Ex-PRESS shunt in 63%) and diode laser cyclophotocoagulation were applied in others (38%). The rate of postoperative complications and graft survival was similar in eyes with and without PKG. Conclusion. PHIOP, preoperative diagnoses other than keratoconus, and corneal dystrophies were highly associated with PKG. Ex-PRESS shunts were effective in refractory PKG. If glaucoma is controlled, it is possible to obtain similar rates of graft survival and postoperative complications in eyes with and without PKG.http://dx.doi.org/10.1155/2011/951294 |
| spellingShingle | Nilgun Yildirim Huseyin Gursoy Afsun Sahin Ahmet Ozer Ertugrul Colak Glaucoma after Penetrating Keratoplasty: Incidence, Risk Factors, and Management Journal of Ophthalmology |
| title | Glaucoma after Penetrating Keratoplasty: Incidence, Risk Factors, and Management |
| title_full | Glaucoma after Penetrating Keratoplasty: Incidence, Risk Factors, and Management |
| title_fullStr | Glaucoma after Penetrating Keratoplasty: Incidence, Risk Factors, and Management |
| title_full_unstemmed | Glaucoma after Penetrating Keratoplasty: Incidence, Risk Factors, and Management |
| title_short | Glaucoma after Penetrating Keratoplasty: Incidence, Risk Factors, and Management |
| title_sort | glaucoma after penetrating keratoplasty incidence risk factors and management |
| url | http://dx.doi.org/10.1155/2011/951294 |
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