Technique for air bubble management during endothelial keratoplasty in eyes after penetrating glaucoma surgery

Michael Banitt, Esdras Arrieta-Quintero, Jean Marie Parel, Francisco Fantes

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Our purpose was to develop a technique for maintaining air within the anterior chamber during endothelial keratoplasty in eyes that have previously undergone trabeculectomy or a glaucoma drainage implant. Whole human globes and rabbits underwent penetrating glaucoma surgery to develop the technique. Without the aid of any additional device or manipulation, continuing to inject air into the anterior chamber as it escapes through the sclerostomy or tube eventually fills the subconjunctival space and allows for back pressure. This allows for a full anterior chamber air fill and brief elevation of intraocular pressure. We employed this overfilling technique on 3 patients with previous incisional glaucoma surgery to perform successful Descemet stripping endothelial keratoplasty without complication. We recommend using the overfilling technique when performing Descemet stripping endothelial keratoplasty surgery in eyes with previous penetrating glaucoma surgery because it is a simple technique without the need for pre- or postoperative manipulation.

Original languageEnglish (US)
Pages (from-to)184-188
Number of pages5
JournalCornea
Volume30
Issue number2
DOIs
StatePublished - Feb 1 2011

Keywords

  • air injection
  • Descemet stripping automated endothelial keratoplasty
  • Descemet stripping endothelial keratoplasty
  • endothelial keratoplasty
  • glaucoma drainage implant
  • technique
  • trabeculectomy

ASJC Scopus subject areas

  • Ophthalmology

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