Clinical Results of Penetrating Keratoplasty after Glaucoma Surgery.

Huh, Dal Woong; Chung, Eui Sang; Ahn, Byung Heon; Kim, Woo Jung

Original Article

Journal of the Korean Ophthalmological Society 2001;42(9):1245-1249.
Published online September 1, 2001.

Clinical Results of Penetrating Keratoplasty after Glaucoma Surgery.

Dal Woong Huh, Eui Sang Chung, Byung Heon Ahn, Woo Jung Kim

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

녹내장 수술 후 시행한 전층각막이식수술의 임상 결과

허달웅(Dal Woong Huh),정의상(Eui Sang Chung),안병헌(Byung Heon Ahn),김우중(Woo Jung Kim)

Abstract

PURPOSE
We retrospectively reviewed the medical records of the patients who had undergone penetrating keratoplasty after glaucoma surgery, to evaluate the surgical outcome of penenetrating keratoplasty associated with glaucoma surgery. METHODS: Twelve patients, 12 eyes were reviewed. Graft status and postoperative intraocular pressure were main outcome measures. And success was defined as thin, clear corneal graft and IOP control between 6 and 21 mmHg after at least 6 month follow-up. RESULTS: The mean age of the patients was 40 year old and male to female ratio was 9 to 3. Mean postoperative follow up time was 12 months for Penetrating keratoplasty and the mean period between glaucoma surgery and penetrating keratoplasty was 12 months. Seventy five percent(9 eyes) maintained clear corneal graft and 67%(8 eyes) showed successful IOP control and both clear graft and IOP control in 58%(7 eyes). CONCLUSIONS: Fifty-eight percent(58%) of our cases showed successful outcome. With the knowledge of better timing for a surgical intervention and an improvement of surgical techniques, there will be an increased success rate.

Key Words: Glaucoma surgery;Penetrating keratoplasty