May 2006
Volume 47, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2006
Management of Glaucoma with the Boston Keratoprosthesis
Author Affiliations & Notes
  • S.B. Hannush
    Cornea Service, Wills Eye Hospital, Philadelphia, PA
  • F. Badala
    Cornea Service, Wills Eye Hospital, Philadelphia, PA
  • Footnotes
    Commercial Relationships  S.B. Hannush, None; F. Badala, None.
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science May 2006, Vol.47, 3944. doi:https://doi.org/
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      S.B. Hannush, F. Badala; Management of Glaucoma with the Boston Keratoprosthesis . Invest. Ophthalmol. Vis. Sci. 2006;47(13):3944. doi: https://doi.org/.

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Abstract

Purpose: : To evaluate the need for glaucoma tube shunt placement to control intraocular pressure in patients receiving the Boston I Keratoprosthesis.

Methods: : Sixteen patients undergoing Boston I permanent keratoprosthesis placement (failed graft 12, chemical injury 2, aniridia 2) between January 2003 and September 2005 were evaluated for the need for glaucoma tube shunt placement before or at the time of surgery. Thirteen patients received tube shunts. Three patients had intraocular pressures in the low teens on no glaucoma medication and did not receive the tube shunt.

Results: : All thirteen keratoprosthesis patients who received tube shunts before or at the time of surgery mantained good intraocular pressure control during the postoperative period (1–34 months). The three patients who did not receive tube shunts eventually developed intractable glaucoma not responsive to maximal medical therapy. They required tube shunt placement secondarily.

Conclusions: : It appears that all patients receiving the Boston I permanent keratoprosthesis should have glaucoma tube shunt devices placed before or at the time of surgery to mantain adequate intraocular pressure control.

Keywords: keratoprostheses • intraocular pressure • transplantation 
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