Safety of DSAEK in Patients With Previous Glaucoma Filtering Surgery

Purpose: To report 4 cases of Descemet stripping automated endothelial keratoplasty (DSAEK) in the presence of previous glaucoma filtering surgery. Design: Observational case series. Methods: Review of clinical data of 4 patients who underwent DSAEK successfully performed in the presence of previous glaucoma filtering surgery with endothelial survival rates comparable with larger series published previously and good postoperative intraocular pressure (IOP) control. Results: The endothelial cell loss was 36% and 39% mean cell loss at 6 months and 1 year postoperatively. The IOP remained well controlled within target levels in all patients. No complications were reported in any of the 4 cases. Conclusions: Corneal endothelial failure can be successfully managed with DSAEK in glaucoma patients with previous filtering surgery with good endothelial survival rates and IOP control.