Descemet Stripping Automated Endothelial Keratoplasty in Eyes With Previous Trabeculectomy and Tube Shunt Procedures: Intraoperative and Early Postoperative Complications

• DOI: 10.1097/ico.0b013e3181c11bf3
• Publication Date: 2010-03-18T09:34:53Z
• Authors: Paul M Phillips; Mark A Terry; Neda Shamie; Edwin S Chen; Karen Hoar; Dilsher Dhoot; Anand K Shah; Daniel J Friend; Naveen K Rao; David D Davis-Boozer
• Keywords: Corneal Edema; Fuchs' Endothelial Dystrophy; Glaucoma; Trabeculectomy; 3. Good health; 03 medical and health sciences; Postoperative Complications; Treatment Outcome; 0302 clinical medicine; Risk Factors; Humans; Glaucoma Drainage Implants; Intraoperative Complications; Descemet Stripping Endothelial Keratoplasty; Intraocular Pressure; Retrospective Studies

To evaluate the intraoperative and early postoperative outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) in patients with previous glaucoma filtering surgeries.A retrospective review all DSAEK surgeries performed at one center comparing complications eyes procedures (study eyes) a time-matched group other cases (control eyes).There were 28 study eyes, 19 trabeculectomies 9 drainage devices (GDDs) 431 control eyes. Study included 1 compromised bleb loss donor tissue because traumatic manipulation. One complication, perforation tissue, occurred group. Venting stab incisions used more often (n = 5; 18%) than 12; 4.4%) (P 0.002). GDD tubes trimmed 2 (22%). No manipulations to occlude filters or tubes. Postoperative dislocation (3.6%) decentered graft eye pressure (3.6%), whereas group, there 10 dislocations (2.3%) (0.2%) 0.267 for P 0.118 grafts). episode pupillary block none primary failures either group.DSAEK without failure reasonably low decentration rates. Although complication rate (7.1%) was higher (0.23%), excellent can be achieved when is GDDs.