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Elevated Intraocular Pressure after Descemet Stripping Automated Endothelial Keratoplasty in Patients with a Trabeculectomy: A Case Series
- Source :
- Journal of Current Glaucoma Practice
- Publication Year :
- 2015
- Publisher :
- Jaypee Brothers Medical Publishing, 2015.
-
Abstract
- We report a case series of three patients with previous trabeculectomies who developed elevated intraocular pressure (IOP) in the immediate postoperative period after routine Descemet stripping automated endothelial keratoplasty (DSAEK). All patients had functioning trabeculectomies preoperatively, and developed elevated IOP between 41 and 69 mm Hg within 24 hours following DSAEK surgery. The IOP was successfully controlled in all patients with topical IOP-lowering medications and oral acetazolamide, with the addition of ocular massage and release of aqueous for two patients. Thereafter, all patients maintained well-controlled IOPs. Patients with trabeculectomies should be followed-up closely immediately after DSAEK to monitor for raised IOP. The mechanism for this pressure rise is uncertain, but may involve air in the trabeculectomy sclerostomy or bleb resulting in blockage of aqueous flow. How to cite this article: Sheales MPH, Chan E, Ang GS, Kong YXG. Elevated Intraocular Pressure after Descemet Stripping Automated Endothelial Keratoplasty in Patients with a Trabeculectomy: A Case Series. J Curr Glaucoma Pract 2015;9(3):100-103.
- Subjects :
- medicine.medical_specialty
Intraocular pressure
genetic structures
medicine.medical_treatment
Glaucoma
Case Report
Cornea
Ophthalmology
medicine
Trabeculectomy
Sclerostomy
business.industry
Descemet stripping automated endothelial keratoplasty
medicine.disease
eye diseases
Surgery
medicine.anatomical_structure
sense organs
Bleb (medicine)
Acetazolamide
business
medicine.drug
Subjects
Details
- ISSN :
- 09751947 and 09740333
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Journal of Current Glaucoma Practice
- Accession number :
- edsair.doi.dedup.....169de88380a026328be44829b5d5af76