Clinical Evaluation of the Glaucoma after Penetrating Keratoplasty.

Woo, Je Moon; Lim, Sun Taek; Seo, Man Seong; Yang, Kun Jin

Original Article

Journal of the Korean Ophthalmological Society 1997;38(3):430-436.
Published online March 1, 1997.

Clinical Evaluation of the Glaucoma after Penetrating Keratoplasty.

Je Moon Woo, Sun Taek Lim, Man Seong Seo, Kun Jin Yang

Department of Ophthalmology, Chonnam University Medical School Kwangju, Korea.

전층각막이식수술후 발생한 녹내장의 임상적 고찰

우제문(Je Moon Woo),임선택(Sun Taek Lim),서만성(Man Seong Seo),양건진(Kun Jin Yang)

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).

Key Words: Aphakic;Glaucoma;Penetrating Keratoplasty;Previous