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Glaucoma after penetrating keratoplasty.

Mihail Zemba1,2, Alina-Cristina Stamate2,3

  • 1Department of Ophthalmology, "Dr. Carol Davila" Central Military Emergency University Hospital, Bucharest, Romania.

Romanian Journal of Ophthalmology
|February 17, 2018
PubMed
Summary

Penetrating keratoplasty (PK) can lead to serious complications, including glaucoma, which risks irreversible vision loss. Early identification and management of risk factors, especially pre-existing glaucoma, are crucial for preserving visual function after PK.

Keywords:
antiglaucomatous therapyglaucoma post penetrating keratoplastyhigh intraocular pressurepenetrating keratoplasty

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Area of Science:

  • Ophthalmology
  • Surgical Science

Background:

  • Penetrating keratoplasty (PK) is a corneal transplant procedure.
  • Despite advancements, PK is associated with various complications impacting visual function.
  • Glaucoma is a severe complication of PK, potentially causing irreversible optic nerve damage and vision loss.

Purpose of the Study:

  • To highlight glaucoma as a dangerous complication following penetrating keratoplasty.
  • To emphasize the importance of identifying and managing risk factors for postoperative intraocular pressure (IOP) elevation.
  • To stress the necessity of diagnosing and controlling pre-existing glaucoma before PK.

Main Methods:

  • Review of complications associated with penetrating keratoplasty.
  • Discussion of risk factors contributing to postoperative IOP rises.
  • Emphasis on pre-operative glaucoma management strategies.

Main Results:

  • Glaucoma is identified as a particularly dangerous complication of PK.
  • Identifying risk factors allows for proactive monitoring and timely treatment of IOP.
  • Pre-existing glaucoma requires careful diagnosis and management prior to PK.

Conclusions:

  • Effective management of pre-existing glaucoma is vital before undertaking PK.
  • Vigilant monitoring for and prompt treatment of elevated IOP post-PK are essential.
  • Minimizing glaucoma risk is key to preserving visual potential after corneal transplantation.