Angle closure after boston keratoprosthesis

Joseph F. Panarelli, Anne Ko, Paul A. Sidoti, Julian P. Garcia, Michael R. Banitt

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

PURPOSE:: To evaluate changes in the anterior chamber angle after Boston keratoprosthesis (KPro) placement. PATIENTS/METHODS:: Ten patients were serially imaged with anterior segment optical coherence tomography after Boston KPro surgery. Angles were judged to be open or closed in the horizontal axis. RESULTS:: Seven of 10 patients had open angles before KPro placement. Within 4 months, 4 of 7 patients developed angle closure. Contact between the iris and the backplate was seen in 3 of these patients. Two of the 4 eyes demonstrated progressive angle closure. Intraocular pressure was elevated in 3 patients postoperatively due to the obstruction of a glaucoma drainage device tube (1 eye) and angle closure (2 eyes). CONCLUSIONS:: After Boston KPro surgery, patients must be carefully monitored for the onset or progression of glaucoma. Progressive angle closure can occur after placement of a Boston KPro and may be seen in conjunction with irido-backplate touch.

Original languageEnglish (US)
Pages (from-to)725-729
Number of pages5
JournalJournal of glaucoma
Volume22
Issue number9
DOIs
StatePublished - Dec 1 2013

Keywords

  • angle closure glaucoma
  • keratoprosthesis
  • optical coherence tomography

ASJC Scopus subject areas

  • Ophthalmology

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