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  • Title: Evaluation and management of glaucoma after keratoprosthesis.
    Author: Banitt M.
    Journal: Curr Opin Ophthalmol; 2011 Mar; 22(2):133-6. PubMed ID: 21191292.
    Abstract:
    PURPOSE OF REVIEW: To review the causes and treatment of glaucoma in Boston keratoprosthesis (K-pro) recipients. RECENT FINDINGS: Glaucoma exists in up to three-quarters of patients who undergo K-pro surgery. After K-pro placement, intraocular pressure (IOP) is measured by digital palpation, which has been found to be reliable in trained observers. The onset or progression of glaucoma in K-pro patients should be monitored through visual field testing, direct visualization and structural imaging of the optic nerve. Although medical therapy is an option, one-half to three-quarters of K-pro recipients are surgically managed with a glaucoma drainage device (GDD) or, less commonly, cyclophotocoagulation. SUMMARY: Glaucoma is a common and permanent blinding sequelae of K-pro surgery. In K-pro patients, elevated IOP and changes in the optic nerve head should result in a high index of suspicion for glaucoma. Management is frequently surgical and typically entails placement of a GDD.
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