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Glaucoma in eyes with severe chemical burn, before and after keratoprosthesis.
Cornea 2011; 30(12):1322-7C

Abstract

PURPOSE

The purpose of this study was to evaluate the incidence of glaucoma in eyes with severe chemical burn, before and after keratoprosthesis.

METHODS

A retrospective chart review of 28 eyes of 23 patients with severe ocular chemical burns who had undergone Boston Keratoprosthesis (BKPro) surgery at the Massachusetts Eye and Ear Infirmary, between 1990 and 2010. The incidence and severity of the outcome of glaucoma, preoperatively and postoperatively, were reviewed. Related issues, such as type of chemical burn; visual acuity (VA); device retention rate; number and nature of previous, concomitant, and subsequent procedures; and incidence of other postoperative complications, were reviewed for a median follow-up time of 57 months.

RESULTS

The number of eyes with a preoperative history or signs of glaucoma was 21, 9 of which had glaucoma progression after BKPro implantation. In addition, 2 more eyes developed glaucoma postoperatively. Preoperative vision was counting fingers or worse in all eyes. Best-corrected postoperative VA ranged from no light perception to 20/20. Seventeen eyes (61%) achieved 20/60 or better VA at some point during their follow-up, but only 9 (32%) maintained 20/60 at the last follow-up. Of the 28 eyes, 6 had the BKPro replaced once and 1 had it replaced twice. Superimposed, 8 of the most severely burned patients developed retinal detachment postoperatively.

CONCLUSIONS

Glaucoma is very common in eyes with severe chemical burns. A keratoprosthesis can rehabilitate vision, but postoperative glaucoma can be difficult to manage.

Authors+Show Affiliations

Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22001817

Citation

Cade, Fabiano, et al. "Glaucoma in Eyes With Severe Chemical Burn, Before and After Keratoprosthesis." Cornea, vol. 30, no. 12, 2011, pp. 1322-7.
Cade F, Grosskreutz CL, Tauber A, et al. Glaucoma in eyes with severe chemical burn, before and after keratoprosthesis. Cornea. 2011;30(12):1322-7.
Cade, F., Grosskreutz, C. L., Tauber, A., & Dohlman, C. H. (2011). Glaucoma in eyes with severe chemical burn, before and after keratoprosthesis. Cornea, 30(12), pp. 1322-7. doi:10.1097/ICO.0b013e31821eead6.
Cade F, et al. Glaucoma in Eyes With Severe Chemical Burn, Before and After Keratoprosthesis. Cornea. 2011;30(12):1322-7. PubMed PMID: 22001817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Glaucoma in eyes with severe chemical burn, before and after keratoprosthesis. AU - Cade,Fabiano, AU - Grosskreutz,Cynthia L, AU - Tauber,Allyson, AU - Dohlman,Claes H, PY - 2011/10/18/entrez PY - 2011/10/18/pubmed PY - 2012/1/18/medline SP - 1322 EP - 7 JF - Cornea JO - Cornea VL - 30 IS - 12 N2 - PURPOSE: The purpose of this study was to evaluate the incidence of glaucoma in eyes with severe chemical burn, before and after keratoprosthesis. METHODS: A retrospective chart review of 28 eyes of 23 patients with severe ocular chemical burns who had undergone Boston Keratoprosthesis (BKPro) surgery at the Massachusetts Eye and Ear Infirmary, between 1990 and 2010. The incidence and severity of the outcome of glaucoma, preoperatively and postoperatively, were reviewed. Related issues, such as type of chemical burn; visual acuity (VA); device retention rate; number and nature of previous, concomitant, and subsequent procedures; and incidence of other postoperative complications, were reviewed for a median follow-up time of 57 months. RESULTS: The number of eyes with a preoperative history or signs of glaucoma was 21, 9 of which had glaucoma progression after BKPro implantation. In addition, 2 more eyes developed glaucoma postoperatively. Preoperative vision was counting fingers or worse in all eyes. Best-corrected postoperative VA ranged from no light perception to 20/20. Seventeen eyes (61%) achieved 20/60 or better VA at some point during their follow-up, but only 9 (32%) maintained 20/60 at the last follow-up. Of the 28 eyes, 6 had the BKPro replaced once and 1 had it replaced twice. Superimposed, 8 of the most severely burned patients developed retinal detachment postoperatively. CONCLUSIONS: Glaucoma is very common in eyes with severe chemical burns. A keratoprosthesis can rehabilitate vision, but postoperative glaucoma can be difficult to manage. SN - 1536-4798 UR - https://www.unboundmedicine.com/medline/citation/22001817/Glaucoma_in_eyes_with_severe_chemical_burn_before_and_after_keratoprosthesis_ L2 - http://Insights.ovid.com/pubmed?pmid=22001817 DB - PRIME DP - Unbound Medicine ER -