J Korean Ophthalmol Soc.  2001 Sep;42(9):1245-1249.

Clinical Results of Penetrating Keratoplasty after Glaucoma Surgery

• Huh DW
• Chung ES
• Ahn BH
• Kim WJ

Abstract

PURPOSE: We retrospectively reviewed the medical records of the patients who had undergone penetrating keratoplasty after glaucoma surgery, to evaluate the surgical outcome of penenetrating keratoplasty associated with glaucoma surgery.
METHODS
Twelve patients, 12 eyes were reviewed. Graft status and postoperative intraocular pressure were main outcome measures. And success was defined as thin, clear corneal graft and IOP control between 6 and 21 mmHg after at least 6 month follow-up.
RESULTS
The mean age of the patients was 40 year old and male to female ratio was 9 to 3. Mean postoperative follow up time was 12 months for Penetrating keratoplasty and the mean period between glaucoma surgery and penetrating keratoplasty was 12 months. Seventy five percent(9 eyes) maintained clear corneal graft and 67%(8 eyes) showed successful IOP control and both clear graft and IOP control in 58%(7 eyes).
CONCLUSIONS
Fifty-eight percent(58%) of our cases showed successful outcome. With the knowledge of better timing for a surgical intervention and an improvement of surgical techniques, there will be an increased success rate.

Keyword

Glaucoma surgery; Penetrating keratoplasty

MeSH Terms

Adult
Corneal Transplantation
Female
Follow-Up Studies
Glaucoma*
Humans
Intraocular Pressure
Keratoplasty, Penetrating*
Male
Medical Records
Outcome Assessment (Health Care)
Retrospective Studies
Transplants