Graft survival and glaucoma outcome after simultaneous penetrating keratoplasty and Ahmed glaucoma valve implant

被引:64
作者
Al-Torbak, A
机构
[1] King Saud Univ, Al Qasseem Med Coll, Dept Ophthalmol, Buraydah 81999, Saudi Arabia
[2] King Khalid Eye Specialist Hosp, Glaucoma Div, Riyadh, Saudi Arabia
关键词
Ahmed glaucoma valve; glaucoma; graft success/failure; intraocular pressure control; penetrating keratoplasty;
D O I
10.1097/00003226-200304000-00002
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose. To investigate the success of corneal graft and intraocular pressure (IOP) control after simultaneous penetrating keratoplasty (PKP) and Ahmed glaucoma valve implant in patients with coexisting corneal opacity and glaucoma. Methods. A retrospective review was undertaken of adult patients at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia, who underwent simultaneous PKP and Ahmed glaucoma valve implant between January 1994 and September 1999. Results. Twenty-five eyes of 25 patients were included in the study. Cumulative probabilities of success by Kaplan-Meier analysis showed 92% and 50% graft success and 92% and 86% IOP control at I and 3 years, respectively. The main postoperative complication was graft failure in 10 of 25 cases, and the majority of those failures resulted from immunologic graft rejection and tube endothelial touch. Conclusion. Ahmed glaucoma valve implant is effective in controlling IOP in a majority of eyes during a 3-year time span. However, corneal graft success continues to pose challenges.
引用
收藏
页码:194 / 197
页数:4
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