Escalation of Glaucoma Therapy After Deep Lamellar Endothelial Keratoplasty

被引:14
作者
Wandling, George R., Jr. [1 ]
Parikh, Mansi [1 ]
Robinson, Christopher [1 ,2 ]
Pramanik, Sudeep N. [1 ,3 ]
Goins, Kenneth M. [1 ]
Sutphin, John E. [1 ,4 ]
Alward, Wallace L. M. [1 ]
Greenlee, Emily C. [1 ]
Kwon, Young H. [1 ]
Wagoner, Michael D. [1 ]
机构
[1] Univ Iowa, Carver Coll Med, Dept Ophthalmol & Visual Sci, Iowa City, IA USA
[2] Tufts Univ, Med Ctr, Dept Ophthalmol, Boston, MA 02111 USA
[3] Greater Baltimore Med Ctr, Dept Ophthalmol, Baltimore, MD USA
[4] Univ Kansas, Med Ctr, Dept Ophthalmol, Kansas City, KS 66103 USA
关键词
endothelial keratoplasty; deep lamellar endothelial keratoplasty; glaucoma; graft failure; PENETRATING KERATOPLASTY; INTRAOCULAR-PRESSURE; RISK-FACTORS; MOLTENO IMPLANT; GRAFT FAILURE; TUBE SHUNT; EYES; SIZE;
D O I
10.1097/ICO.0b013e3181cc7b02
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To determine the prevalence and risk factors for escalation of glaucoma therapy after deep lamellar endothelial keratoplasty (DLEK). Methods: Retrospective review of every case of DLEK performed at a tertiary care facility between December 1, 2003 and January 31, 2006. Results: Eighty eyes met the inclusion criteria. Escalation of glaucoma therapy occurred in 13 eyes (16.3%) during a mean follow-p period of 27.1 months. Ten eyes required additional topical medical therapy, and 3 eyes required surgical intervention. Glaucoma therapy escalation was significantly associated with preexisting glaucoma (42.9% vs. 10.6%; P = 0.008). Conclusion: Escalation of glaucoma therapy is not uncommon after DLEK, especially in eyes with preexisting glaucoma.
引用
收藏
页码:991 / 995
页数:5
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