Posters

Visual outcomes of penetrating keratoplasty in eyes with iridocorneal endothelial syndrome (ICE)

Poster Details

First Author: R.Rajagopal INDIA

Co Author(s):    P. Nangia   B. Shantha                 

Abstract Details

Purpose:

To evaluate the visual outcomes in eyes diagnosed to have iridocorneal endothelial (ICE) syndrome following penetrating keratoplasty (PKP).

Setting:

Department of Cornea and Refractive Surgery, Medical Research Foundation, Chennai.

Methods:

All eyes with ICE syndrome that underwent PKP during a 12 year period from June 2006 to May 2018 with a minimum followup of 6 months were retrospectively  included. Data regarding preoperative factors, intraop parameters, post op graft clarity and intraocular pressure status were reviewed.

Results:

19 patients (mean follow up was 47.16 months} were included. 8 (42.1%) had undergone prior glaucoma surgery. Optic disc assessment was possible only in 7 eyes, with a mean cup-to-disc ratio of 0.7:1. BCVA pre PK was 2.01±0.42 LogMAR units. IOP spike,was noted in  29.4% at 6 weeks and 42.9% at 5 months. At one year, graft rejection was 23.08%. 11 eyes had clear graft at the final visit (57.9%), while 2 required repeat PK and 3 glaucoma surgery post PKP. Final BCVA was 1.27±1.088 LogMAR units, which was significantly better than the visual acuity pre PK (p= 0.013).

Conclusions:

Penetrating keratoplasty done in eyes with ICE syndrome has satisfactory results during the early post operative period. Adequate IOP control with regular follow up can lead to acceptable outcomes in the long term as well.

Financial Disclosure:

None