Intraocular pressure after posterior lamellar keratoplasty

Session Details

Session Title: Glaucoma I

Session Date/Time: Sunday 11/09/2016 | 14:30-16:00

Paper Time: 14:36

Venue: Auditorium C6

First Author: : A.Klezlova CZECH REPUBLIC

Co Author(s): :    K. Hlozankova   D. Krizova   P. Studeny              

Abstract Details

Purpose:

The aim of the study was to evaluate the postoperative changes of intraocular pressure (IOP) after Descemet membrane endothelial keratoplasty with a stromal rim (DMEK-S).

Setting:

Ophthalmology department of 3rd Medical Faculty and University Hospital Kralovske Vinohrady, Prague, Czech Republic

Methods:

We performed a retrospective review of medical records of 299 patients (488 eyes) who underwent operation DMEK-S from April 2007 to June 2015. The average age of patients was 71 ± 11 and follow-up time was 18,5 ± 17,7 months. The criteria for postoperative IOP elevation was IOP ≥ 24 mmHg.

Results:

The incidence of postoperative pupillary block was 3,7% (18 eyes). The postoperative IOP was increased in 7,6% (37 eyes). Increased IOP was medically treated by reducing steroids and initiating or increasing glaucoma medication. The increased of IOP was persistent in 4,5% (22 eyes). Three patients with persistent elevation of IOP had to undergo antiglaucoma surgery- two of them deep sclerectomy with T-flux implant (Zeiss) and in one case Express shunt implantation (Alcon).

Conclusions:

Intraocular pressure following DMEK-S can be increased in early postoperative time due to presence of air bubble in the anterior segment. The next cause of increased IOP in long term follow-up is concurrent steroid therapy. More than half of our patients with postoperative IOP elevation had increased of IOP even following cessation of steroid therapy.

Financial Disclosure:

NONE