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H. Eguchi, Y. Kubo, S. Takano, H. Shiota, M. Yano; Malignant Glaucoma After Penetrating Keratoplasty . Invest. Ophthalmol. Vis. Sci. 2004;45(13):4883.
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Purpose: To report a case of malignant glaucoma after penetrating keratoplasty. Method: Case report. Results: A 72–year–old male with corneal leukoma in his left eye underwent penetrating keratoplasty using 0.5mm oversized graft. Preoperatively, the BCVA was light perception and the eye had shallow anterior chamber, mild cataract and vitreous bleeding due to diabetic retinopathy. Cataract extraction concurrent with corneal grafting was not selected for this case so as not to obstruct the transparency for fundus examination in early postoperative stage. A day after surgery, the eye had extraordinary shallow anterior chamber and high intra–ocular pressure which couldn’t be controlled well without using pupil dilation eye drop. A core–vitrectomy made the intra–ocular pressure low despite goniosynechialisis couldn’t be completed because of astigma at host–graft interface, corneal erosion and epithelial edema. Six months postoperatively, although the anterior chamber is slightly shallow because of the existence of lens, the intra–ocular pressure has been controlled well and the cornea is clear. The BCVA is 20/500. Conclusion: Malignant glaucoma can rarely be occurred after penetrating keratoplasty. For case that have shallow anterior chamber, cataract and ocular inflammatory disease, cataract extraction concurrent with the corneal grafting ought to be selected and an attention for malignant glaucoma should be paid.
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