Anterior Segment Analysis and Intraocular Pressure Elevation after Penetrating Keratoplasty and Posterior Lamellar Endothelial Keratoplasty
Background: Peripheral anterior synechiae (PAS) is a common problem after penetrating keratoplasty (PK) and leads to intraocular pressure (IOP) elevation. This study examines the risk factors for IOP elevation and post-keratoplasty glaucoma. Methods: A retrospective analysis was performed of 47 eyes...
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| Veröffentlicht in: | Ophthalmic research 2015-01, Vol.53 (1), p.36-47 |
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| creator | Maier, Anna-Karina B. Gundlach, Enken Gonnermann, Johannes Klamann, Matthias K.J. Eulufi, Christian Joussen, Antonia M. Bertelmann, Eckart Rieck, Peter Torun, Necip |
| description | Background: Peripheral anterior synechiae (PAS) is a common problem after penetrating keratoplasty (PK) and leads to intraocular pressure (IOP) elevation. This study examines the risk factors for IOP elevation and post-keratoplasty glaucoma. Methods: A retrospective analysis was performed of 47 eyes following PK and of 65 eyes following Descemet's stripping endothelial keratoplasty (DSEK) between 2009 and 2011. The assessment included preoperative history of corneal disease and glaucoma, response to treatment, IOP, and visual acuity. Irido-trabecular contacts (ITC), the angle opening distance (AOD 500) and the anterior chamber angle (ACA 500) were calculated. Results: The incidences of IOP elevation and post-keratoplasty glaucoma were 27-36% and 10-29%, respectively. The incidence did not differ significantly between both procedures. Pre-existing glaucoma increased the risk for developing IOP elevation and post-DSEK glaucoma. Eyes with bullous keratopathy (BK) developed significantly more IOP elevation (p = 0.01, d.f. = 1, χ 2 = 6.11) and post-keratoplasty glaucoma (p = 0.01, d.f. = 1, χ 2 = 6.22) than eyes with Fuchs' endothelial dystrophy. Eyes with ITC developed post-keratoplasty glaucoma significantly more often than eyes without ITC (p = 0.01, d.f. = 1, χ 2 = 6.63). Conclusion: IOP elevation and post-keratoplasty glaucoma showed a high incidence. Risk factors like pre-existing glaucoma, BK and PAS elevated the rate of IOP elevation and post-keratoplasty glaucoma for both procedures. © 2014 S. Karger AG, Basel |
| doi_str_mv | 10.1159/000365252 |
| format | Article |
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This study examines the risk factors for IOP elevation and post-keratoplasty glaucoma. Methods: A retrospective analysis was performed of 47 eyes following PK and of 65 eyes following Descemet's stripping endothelial keratoplasty (DSEK) between 2009 and 2011. The assessment included preoperative history of corneal disease and glaucoma, response to treatment, IOP, and visual acuity. Irido-trabecular contacts (ITC), the angle opening distance (AOD 500) and the anterior chamber angle (ACA 500) were calculated. Results: The incidences of IOP elevation and post-keratoplasty glaucoma were 27-36% and 10-29%, respectively. The incidence did not differ significantly between both procedures. Pre-existing glaucoma increased the risk for developing IOP elevation and post-DSEK glaucoma. Eyes with bullous keratopathy (BK) developed significantly more IOP elevation (p = 0.01, d.f. = 1, χ 2 = 6.11) and post-keratoplasty glaucoma (p = 0.01, d.f. = 1, χ 2 = 6.22) than eyes with Fuchs' endothelial dystrophy. Eyes with ITC developed post-keratoplasty glaucoma significantly more often than eyes without ITC (p = 0.01, d.f. = 1, χ 2 = 6.63). Conclusion: IOP elevation and post-keratoplasty glaucoma showed a high incidence. Risk factors like pre-existing glaucoma, BK and PAS elevated the rate of IOP elevation and post-keratoplasty glaucoma for both procedures. © 2014 S. Karger AG, Basel</description><identifier>ISSN: 0030-3747</identifier><identifier>EISSN: 1423-0259</identifier><identifier>DOI: 10.1159/000365252</identifier><identifier>PMID: 25531077</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Aged ; Aged, 80 and over ; Anterior Eye Segment - pathology ; Antihypertensive Agents - therapeutic use ; Blister - surgery ; Corneal Diseases - surgery ; Descemet Stripping Endothelial Keratoplasty ; Female ; Fuchs' Endothelial Dystrophy - surgery ; Glaucoma - drug therapy ; Glaucoma - etiology ; Glaucoma - physiopathology ; Humans ; Incidence ; Intraocular Pressure - physiology ; Keratoplasty, Penetrating ; Male ; Original Paper ; Postoperative Complications ; Retrospective Studies ; Risk Factors ; Tomography, Optical Coherence ; Tonometry, Ocular ; Visual Acuity - physiology</subject><ispartof>Ophthalmic research, 2015-01, Vol.53 (1), p.36-47</ispartof><rights>2014 S. Karger AG, Basel</rights><rights>2014 S. Karger AG, Basel.</rights><rights>Copyright (c) 2015 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-251af7094f1ec0a086517a9f2fc4528e60793c829d174c089aa40cccd9d98b653</citedby><cites>FETCH-LOGICAL-c498t-251af7094f1ec0a086517a9f2fc4528e60793c829d174c089aa40cccd9d98b653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2422,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25531077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maier, Anna-Karina B.</creatorcontrib><creatorcontrib>Gundlach, Enken</creatorcontrib><creatorcontrib>Gonnermann, Johannes</creatorcontrib><creatorcontrib>Klamann, Matthias K.J.</creatorcontrib><creatorcontrib>Eulufi, Christian</creatorcontrib><creatorcontrib>Joussen, Antonia M.</creatorcontrib><creatorcontrib>Bertelmann, Eckart</creatorcontrib><creatorcontrib>Rieck, Peter</creatorcontrib><creatorcontrib>Torun, Necip</creatorcontrib><title>Anterior Segment Analysis and Intraocular Pressure Elevation after Penetrating Keratoplasty and Posterior Lamellar Endothelial Keratoplasty</title><title>Ophthalmic research</title><addtitle>Ophthalmic Res</addtitle><description>Background: Peripheral anterior synechiae (PAS) is a common problem after penetrating keratoplasty (PK) and leads to intraocular pressure (IOP) elevation. This study examines the risk factors for IOP elevation and post-keratoplasty glaucoma. Methods: A retrospective analysis was performed of 47 eyes following PK and of 65 eyes following Descemet's stripping endothelial keratoplasty (DSEK) between 2009 and 2011. The assessment included preoperative history of corneal disease and glaucoma, response to treatment, IOP, and visual acuity. Irido-trabecular contacts (ITC), the angle opening distance (AOD 500) and the anterior chamber angle (ACA 500) were calculated. Results: The incidences of IOP elevation and post-keratoplasty glaucoma were 27-36% and 10-29%, respectively. The incidence did not differ significantly between both procedures. Pre-existing glaucoma increased the risk for developing IOP elevation and post-DSEK glaucoma. Eyes with bullous keratopathy (BK) developed significantly more IOP elevation (p = 0.01, d.f. = 1, χ 2 = 6.11) and post-keratoplasty glaucoma (p = 0.01, d.f. = 1, χ 2 = 6.22) than eyes with Fuchs' endothelial dystrophy. Eyes with ITC developed post-keratoplasty glaucoma significantly more often than eyes without ITC (p = 0.01, d.f. = 1, χ 2 = 6.63). Conclusion: IOP elevation and post-keratoplasty glaucoma showed a high incidence. Risk factors like pre-existing glaucoma, BK and PAS elevated the rate of IOP elevation and post-keratoplasty glaucoma for both procedures. © 2014 S. Karger AG, Basel</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anterior Eye Segment - pathology</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Blister - surgery</subject><subject>Corneal Diseases - surgery</subject><subject>Descemet Stripping Endothelial Keratoplasty</subject><subject>Female</subject><subject>Fuchs' Endothelial Dystrophy - surgery</subject><subject>Glaucoma - drug therapy</subject><subject>Glaucoma - etiology</subject><subject>Glaucoma - physiopathology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intraocular Pressure - physiology</subject><subject>Keratoplasty, Penetrating</subject><subject>Male</subject><subject>Original Paper</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Tomography, Optical Coherence</subject><subject>Tonometry, Ocular</subject><subject>Visual Acuity - physiology</subject><issn>0030-3747</issn><issn>1423-0259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpt0U1vEzEQBmALgWhaOHBHyBIXetgy9trx-hhVASoiNeLjvHK9s2HLrp3aXqT8hv7pOmQJAvVky3r8zmiGkFcMLhiT-j0AlHPJJX9CZkzwsgAu9VMyy89QlEqoE3Ia4y1AxhqekxMuZclAqRm5X7iEofOBfsXNgC7RhTP9LnaRGtfQK5eC8XbsTaDrgDGOAemyx18mdd5R0-bPdI0OM0ud29DPmC9-25uYdr8T1j5OBVZmwH4ftHSNTz-w70z_j39BnrWmj_hyOs_I9w_Lb5efitX1x6vLxaqwQlep4JKZVoEWLUMLBqq5ZMrolrdWSF7hHJQubcV1w5SwUGljBFhrG93o6mYuyzPy7pC7Df5uxJjqoYt235tDP8aa5VkKIZSqMn37H731Y8gTmpTSwEVW5wdlg48xYFtvQzeYsKsZ1PsN1ccNZftmShxvBmyO8s9K_pb8acIGwxFcf1keIupt02b1-lE1VXkAnXOh5A</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Maier, Anna-Karina B.</creator><creator>Gundlach, Enken</creator><creator>Gonnermann, Johannes</creator><creator>Klamann, Matthias K.J.</creator><creator>Eulufi, Christian</creator><creator>Joussen, Antonia M.</creator><creator>Bertelmann, Eckart</creator><creator>Rieck, Peter</creator><creator>Torun, Necip</creator><general>S. 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This study examines the risk factors for IOP elevation and post-keratoplasty glaucoma. Methods: A retrospective analysis was performed of 47 eyes following PK and of 65 eyes following Descemet's stripping endothelial keratoplasty (DSEK) between 2009 and 2011. The assessment included preoperative history of corneal disease and glaucoma, response to treatment, IOP, and visual acuity. Irido-trabecular contacts (ITC), the angle opening distance (AOD 500) and the anterior chamber angle (ACA 500) were calculated. Results: The incidences of IOP elevation and post-keratoplasty glaucoma were 27-36% and 10-29%, respectively. The incidence did not differ significantly between both procedures. Pre-existing glaucoma increased the risk for developing IOP elevation and post-DSEK glaucoma. Eyes with bullous keratopathy (BK) developed significantly more IOP elevation (p = 0.01, d.f. = 1, χ 2 = 6.11) and post-keratoplasty glaucoma (p = 0.01, d.f. = 1, χ 2 = 6.22) than eyes with Fuchs' endothelial dystrophy. Eyes with ITC developed post-keratoplasty glaucoma significantly more often than eyes without ITC (p = 0.01, d.f. = 1, χ 2 = 6.63). Conclusion: IOP elevation and post-keratoplasty glaucoma showed a high incidence. Risk factors like pre-existing glaucoma, BK and PAS elevated the rate of IOP elevation and post-keratoplasty glaucoma for both procedures. © 2014 S. Karger AG, Basel</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>25531077</pmid><doi>10.1159/000365252</doi><tpages>12</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Anterior Eye Segment - pathology Antihypertensive Agents - therapeutic use Blister - surgery Corneal Diseases - surgery Descemet Stripping Endothelial Keratoplasty Female Fuchs' Endothelial Dystrophy - surgery Glaucoma - drug therapy Glaucoma - etiology Glaucoma - physiopathology Humans Incidence Intraocular Pressure - physiology Keratoplasty, Penetrating Male Original Paper Postoperative Complications Retrospective Studies Risk Factors Tomography, Optical Coherence Tonometry, Ocular Visual Acuity - physiology |
| title | Anterior Segment Analysis and Intraocular Pressure Elevation after Penetrating Keratoplasty and Posterior Lamellar Endothelial Keratoplasty |
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