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

来源：

CORNEA | 2010年 / 29卷 / 09期

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

页码：991 / 995

页数：5

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