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Descemet’s Stripping Endothelial Keratoplasty (DSEK) and Glaucoma

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Abstract

Posterior lamellar corneal procedures are gaining widespread acceptance as the surgical procedure of choice in cases of endo­thelial dysfunction. These offer more rapid visual recovery and more predictable refractive outcomes compared to penetrating keratoplasty. Originally developed by Melles and modified by Terry, deep lamellar endothelial keratoplasty (DLEK) evolved into Descemet stripping endothelial keratoplasty with (DSAEK) or without (DSEK) the use of an automated microkeratome. As the procedure and the pertinent instrumentation are undergoing refinements, little is known about the management of glaucoma that may coexist or arise as a result of posterior lamellar corneal procedures. We will review the available information on the incidence of glaucoma after DSEK/DLEK, the error of measurement in intraocular pressure (IOP) with the Goldmann applanation tonometer (GAT) and summarize considerations about the surgical management of glaucoma in patients after DSEK/DLEK.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, MA, USA

    Theodoros Filippopoulos MD

  2. Athens Vision Eye Institute, Kallithea, Athens, Greece

    Theodoros Filippopoulos MD

  3. Department of Ophthalmology, Cornea Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA

    Kathryn A. Colby MD, PhD

  4. Glaucoma Service, Department of Ophthalmology, Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, MA, USA

    Cynthia L. Grosskreutz MD, PhD

Authors
  1. Theodoros Filippopoulos MD
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  2. Kathryn A. Colby MD, PhD
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  3. Cynthia L. Grosskreutz MD, PhD
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Editor information

Editors and Affiliations

  1. 2889 10th Avenue, N., Palm Springs, 33461, USA

    Paul N. Schacknow

  2. Casey Eye Institute, Dept. Ophthalmology, Oregon Health & Sciences University, SW. Terwilliger Blvd. 3375, Portland, 97201-4197, USA

    John R. Samples

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Filippopoulos, T., Colby, K.A., Grosskreutz, C.L. (2010). Descemet’s Stripping Endothelial Keratoplasty (DSEK) and Glaucoma. In: Schacknow, P., Samples, J. (eds) The Glaucoma Book. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76700-0_76

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  • DOI: https://doi.org/10.1007/978-0-387-76700-0_76

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  • Online ISBN: 978-0-387-76700-0

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