TY - JOUR
T1 - Penetrating keratoplasty with pars plana glaucoma drainage devices
AU - Ritterband, David C.
AU - Shapiro, Daniel
AU - Trubnik, Valeriya
AU - Marmor, Michael
AU - Meskin, Seth
AU - Seedor, John
AU - Liebmann, Jeffrey M.
AU - Tello, Celso
AU - Koplin, Richard
AU - Harizman, Noga
AU - Shabto, Uri
AU - Ritch, Robert
AU - Prince, Andrew
AU - Laroche, Daniel
AU - Pinhas, David
AU - Gamel, Lisa
AU - Amin, Abha
AU - Sidoti, Paul
AU - Smolyak, Regina
AU - Weseley, Peter
AU - Dayan, Alan
AU - Muldoon, Thomas
AU - Felder, Kenneth
AU - Gentile, Ronald
AU - Glickman, Gary
AU - Rosen, Richard
PY - 2007/10
Y1 - 2007/10
N2 - PURPOSE: To study the outcome of penetrating keratoplasty (PK) in eyes undergoing simultaneous insertion or repositioning of a glaucoma drainage device (GDD) through the pars plana. METHODS: The medical records of all patients who underwent PK and primary placement or repositioning of a GDD through the pars plana from April 1, 1997, through December 1, 2005, were reviewed. Intraocular pressure (IOP) control was defined as maintenance of IOP ≥5 and ≤21 mm Hg (without loss of light perception vision or needing further glaucoma surgery). Kaplan-Meier life table survival analysis was used to estimate the success of graft survival (clarity) and glaucoma control. RESULTS: Eighty-three eyes of 80 patients (34 men and 46 women) were identified. Mean follow-up was 16 months (range, 6-96 months). PK and pars plana vitrectomy were performed with primary pars plana GDD insertion (57 eyes) or tube repositioning from the anterior chamber to pars plana (26 eyes). Grafts remained clear in 93% of eyes (76/83) at 6 months, 87% (56/66) at 1 year, and 59% (19/32) at 2 years. IOP was controlled in 87% (72/83) of eyes at 6 months, 95% (57/63) at 1 year, and 83% (20/24) at 2 years. CONCLUSIONS: PK with simultaneous pars plana GDD repositioning or placement showed comparable short- and long-term IOP control to that of previous studies with limbal-based GDD. The rate of corneal graft failure and the rate of immunologic rejection were comparable to or lower than those reported in other series with primary limbal-based GDD.
AB - PURPOSE: To study the outcome of penetrating keratoplasty (PK) in eyes undergoing simultaneous insertion or repositioning of a glaucoma drainage device (GDD) through the pars plana. METHODS: The medical records of all patients who underwent PK and primary placement or repositioning of a GDD through the pars plana from April 1, 1997, through December 1, 2005, were reviewed. Intraocular pressure (IOP) control was defined as maintenance of IOP ≥5 and ≤21 mm Hg (without loss of light perception vision or needing further glaucoma surgery). Kaplan-Meier life table survival analysis was used to estimate the success of graft survival (clarity) and glaucoma control. RESULTS: Eighty-three eyes of 80 patients (34 men and 46 women) were identified. Mean follow-up was 16 months (range, 6-96 months). PK and pars plana vitrectomy were performed with primary pars plana GDD insertion (57 eyes) or tube repositioning from the anterior chamber to pars plana (26 eyes). Grafts remained clear in 93% of eyes (76/83) at 6 months, 87% (56/66) at 1 year, and 59% (19/32) at 2 years. IOP was controlled in 87% (72/83) of eyes at 6 months, 95% (57/63) at 1 year, and 83% (20/24) at 2 years. CONCLUSIONS: PK with simultaneous pars plana GDD repositioning or placement showed comparable short- and long-term IOP control to that of previous studies with limbal-based GDD. The rate of corneal graft failure and the rate of immunologic rejection were comparable to or lower than those reported in other series with primary limbal-based GDD.
KW - Glaucoma drainage devices
KW - Pars plana glaucoma drainage devices
KW - Penetrating keratoplasty
UR - http://www.scopus.com/inward/record.url?scp=34748889880&partnerID=8YFLogxK
U2 - 10.1097/ICO.0b013e3181342835
DO - 10.1097/ICO.0b013e3181342835
M3 - Article
C2 - 17893534
AN - SCOPUS:34748889880
SN - 0277-3740
VL - 26
SP - 1060
EP - 1066
JO - Cornea
JF - Cornea
IS - 9
ER -