March 2012
Volume 53, Issue 14
ARVO Annual Meeting Abstract  |   March 2012
Monitoring Of Glaucoma After The Implantation Of A Keratoprosthesis
Author Affiliations & Notes
  • Riccardo Scotto
    Ophthalmology, DiNOG, University of Genoa, Genova, Italy
  • Marina Papadia
    Di NOG,
    University of Genova, Genova, Italy
  • Alessandro Bagnis
    Eye Clinic,
    University of Genova, Genova, Italy
  • Angelo Macrì
    Azienda Ospedaliera Universitaria San Martino, Genova, Italy
  • Carlo E. Traverso
    Clinica Oculistica - Di NOG,
    University of Genova, Genova, Italy
  • Footnotes
    Commercial Relationships  Riccardo Scotto, None; Marina Papadia, None; Alessandro Bagnis, None; Angelo Macrì, None; Carlo E. Traverso, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 6074. doi:
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    • Get Citation

      Riccardo Scotto, Marina Papadia, Alessandro Bagnis, Angelo Macrì, Carlo E. Traverso; Monitoring Of Glaucoma After The Implantation Of A Keratoprosthesis. Invest. Ophthalmol. Vis. Sci. 2012;53(14):6074.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: : The synthetic Keratoprosthesis can restore visual function in patients affected by corneal blindness that are poor candidates for keratoplasty. Despite great improvements in the prosthesis retention rate, long-term visual prognosis is still uncertain, mainly due to the high rate of glaucoma that may develop with the assessment of IOP possible only by palpation. Ways of evaluating stage and progression on these patients is currently uncertain.

Methods: : Computerized visual fields, optic nerve analysis with HRT III and retinal nerve fiber layer (RNFL) analysis with OCT were performed to verify feasibility and reliability on 3 eyes of 3 patients that were implanted with a Boston KPro at our institution.

Results: : All techniques were feasible in the evaluation of the glaucomatous damage in patients implanted with Boston KPro type I. Reliability indexes of HRT, OCT and VF fixation losses were 28,5 μm (±7,8), 38,4 (±7,9), 1,4/17.

Conclusions: : Patients implanted with a KPro can be monitored for glaucoma with visual field assessment, OCT and HRT III imaging of the optic nerve and retinal nerve fiber layer, allowing precise information on the visual function and on the morphological changes. We found OCT as an easily and quickly performed assessment that can be repeated at each follow-up visit. This reduces the possibility of overlooking worsening glaucoma damage in patients where the IOP can only be assessed approximately.

Keywords: keratoprostheses • imaging/image analysis: clinical • visual fields 

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