Clinical Evaluation of the Glaucoma after Penetrating Keratoplasty.
- Author:
Je Moon WOO
1
;
Sun Taek LIM
;
Man Seong SEO
;
Kun Jin YANG
Author Information
1. Department of Ophthalmology, Chonnam University Medical School Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Aphakic;
Glaucoma;
Penetrating Keratoplasty;
Previous
- MeSH:
Cataract Extraction;
Glaucoma*;
Incidence;
Intraocular Pressure;
Jeollanam-do;
Keratoplasty, Penetrating*;
Retrospective Studies;
Risk Factors;
Transplants;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
1997;38(3):430-436
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We retrospectively evaulated the frequency and risk factors of glaucoma after penetrating keratoplasty by reviewing charts of 96 patients(112eyes) who received the penetrating keratoplasty from May 1992 to Novermber 1995 at Chonnam Universty Hospital. Intraocular pressure was increased over 21mmHg in 18 eyes after surgery. Underlying disease of them were graft failure (5 eyes), bullous keratoplasty(5 eyes), corneal ulcer(5 eyes), trauma(3 eyes). Ten eyes(55.5%) were glaucomatous preoperatively. Eight eyes(44.4%) were phakic, 7 eyes(38.9%) aphakic, and 3 eyes(16.7%) pseudophakic. Ten eyes(55.5%) underwent only penetrating keratoplasty, 4 eyes(22.2%) vitrectomy at the time of penetrating keratoplasty, and 4 eyes(22.2%) combined cataract extraction. The eyes with previous history of glaucoma(19 eyes) had higher incidence of increased intraouclar pressure than those 93 eyes with no glaucoma history(P<0.0001). Aphakic eyes(21 eyes) had higher incidence of glaucoma than phakic eyes(80 eyes)(p<0.05).
