Posters

Deep sclerectomy for glaucoma after penetrating keratoplasty: a case report

Poster Details

First Author: A.Volinia ITALY

Co Author(s):    A. Baraldi   A. Bonan   A. Daniele   M. Grande   G. Sanguinetti   R. Altafini     

Abstract Details

Purpose:

Penetrating Keratoplasty (PK) is a surgical intervention that despite the progress of surgical techniques continues to have numerous complications. Between these, glaucoma is one of the most dangerous complications after PK.  Glaucoma following PK has a relatively high frequency, it can appear early, as well as late in the evolution of trasplant and it is very hard to diagnose.

Setting:

Ophtalmic Unit of Dolo's Hospital, Venice, Italy.

Methods:

We present a case report of a woman of 54 years old who had a fungal corneal ulcer in right eye. Before the PK intraocular pressure (IOP) was 22 mmHg. After PK, IOP increased to 34 mmHg, so the patient start a medical treatment with three antiglaucoma drugs. IOP remained high despite medical treatment, so we decide to perform a  Nonpenetrating Deep Sclerectomy (NPDS) and topical adjunctive intraoperative of mitomycin C (0.2 mg/mL). IOP and corneal condition were registered before and after NPDS with at least 2-year follow-up.

Results:

two years after NPDS, IOP was < 15 mmHg and the patient not required  a postoperative antiglaucoma medications. No complications related to NPDS were observed and the corneal graft remained clear and well-placed over the years.

Conclusions:

NPDS could be a safe and successful alternative to conventional filtration surgery after pk in eyes with uncontrolled glaucoma. Larger series and a longer follow-up would be necessary to set the actual role of NPDS in PK patients.

Financial Disclosure:

None