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Management of glaucoma with Boston type 1 keratoprosthesis
Canan Asli Utine1,2, Gül Arıkan1, Elvan Yardım1
1Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey.
Arquivos Brasileiros De Oftalmologia
|April 13, 2022
Summary
Glaucoma affects over half of patients receiving keratoprosthesis surgery. Managing preexisting glaucoma is challenging, and timing of glaucoma drainage device implantation impacts complication risk.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Corneal Surgery
Background:
- Keratoprosthesis implantation is a complex procedure for severe corneal diseases.
- Glaucoma is a significant concern following keratoprosthesis surgery, affecting visual prognosis.
- Understanding glaucoma's incidence and management is crucial for optimizing patient outcomes.
Purpose of the Study:
- To determine the frequency and characteristics of glaucoma in patients undergoing keratoprosthesis surgery.
- To analyze complications and management strategies for glaucoma associated with keratoprosthesis.
- To compare outcomes for preexisting versus de novo glaucoma after keratoprosthesis.
Main Methods:
- Retrospective evaluation of 17 patients who underwent keratoprosthesis surgery between June 2010 and January 2020.
- Analysis of glaucoma association, clinical features, and treatment interventions.
- Assessment of postoperative complications, including retinal issues and endophthalmitis.
Main Results:
- Over half (52.9%) of patients developed or had preexisting glaucoma.
- Eyes with preexisting glaucoma were more challenging to manage.
- Retinal complications were more frequent when glaucoma drainage devices were implanted within 6 months of surgery.
Conclusions:
- Glaucoma is a common and complex complication after keratoprosthesis.
- The timing of glaucoma drainage device implantation relative to keratoprosthesis surgery influences complication rates.
- Careful management and consideration of surgical timing are essential for patients undergoing keratoprosthesis with glaucoma.
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