Abstract
PURPOSE:: To evaluate changes in the anterior chamber angle after Boston keratoprosthesis (KPro) placement. PATIENTS/METHODS:: Ten patients were serially imaged with anterior segment optical coherence tomography after Boston KPro surgery. Angles were judged to be open or closed in the horizontal axis. RESULTS:: Seven of 10 patients had open angles before KPro placement. Within 4 months, 4 of 7 patients developed angle closure. Contact between the iris and the backplate was seen in 3 of these patients. Two of the 4 eyes demonstrated progressive angle closure. Intraocular pressure was elevated in 3 patients postoperatively due to the obstruction of a glaucoma drainage device tube (1 eye) and angle closure (2 eyes). CONCLUSIONS:: After Boston KPro surgery, patients must be carefully monitored for the onset or progression of glaucoma. Progressive angle closure can occur after placement of a Boston KPro and may be seen in conjunction with irido-backplate touch.
Original language | English |
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Pages (from-to) | 725-729 |
Number of pages | 5 |
Journal | Journal of Glaucoma |
Volume | 22 |
Issue number | 9 |
DOIs | |
State | Published - Dec 2013 |
Externally published | Yes |
Keywords
- angle closure glaucoma
- keratoprosthesis
- optical coherence tomography