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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Price MO, Price FW. Descemet’s stripping endothelial keratoplasty. Curr Opin Ophthalmol. 2007;18(4):290–294.
Melles GR, Eggink FA, Lander F, et al. A surgical technique for posterior lamellar keratoplasty. Cornea. 1998;17(6):618–626.
Melles GR, Lander F, van Dooren BT, et al. Preliminary clinical results of posterior lamellar keratoplasty through a sclerocorneal pocket incision. Ophthalmology. 2000;107(10):1850-6. discussion 7.
Terry MA, Ousley PJ. Deep lamellar endothelial keratoplasty in the first United States patients: early clinical results. Cornea. 2001;20(3): 239–243.
Terry MA, Ousley PJ. Small-incision deep lamellar endothelial keratoplasty (DLEK): six-month results in the first prospective clinical study. Cornea. 2005;24(1):59–65.
Gorovoy MS. Descemet-stripping automated endothelial keratoplasty. Cornea. 2006;25(8):886–889.
Price FW Jr, Price MO. Descemet’s stripping with endothelial keratoplasty in 200 eyes: early challenges and techniques to enhance donor adherence. J Cataract Refract Surg. 2006;32(3): 411–418.
Melles GR, Wijdh RH, Nieuwendaal CP. A technique to excise the descemet membrane from a recipient cornea (descemetorhexis). Cornea. 2004;23(3):286–288.
Price FW Jr, Price MO. Descemet’s stripping with endothelial keratoplasty in 50 eyes: a refractive neutral corneal transplant. J Refract Surg. 2005;21(4):339–345.
Ayyala RS. Penetrating keratoplasty and glaucoma. Surv Ophthalmol. 2000;45(2):91–105.
Allan BD, Terry MA, Price FW Jr, et al. Corneal transplant rejection rate and severity after endothelial keratoplasty. Cornea. 2007;26(9): 1039–1042.
Price MO, Price FW Jr. Descemet stripping with endothelial keratoplasty for treatment of iridocorneal endothelial syndrome. Cornea. 2007;26(4):493–497.
Hyams M, Segev F, Yepes N, et al. Early postoperative complications of deep lamellar endothelial keratoplasty. Cornea. 2007;26(6):650–653.
Duarte MC, Herndon LW, Gupta PK, Afshari NA. DSEK in eyes with double glaucoma tubes. Ophthalmology. 2008;115(8):1435.e1.
Vajaranant TS. Vision and IOP after Descemet-stripping endothelial keratoplasty in patients with preexisting glaucoma. Paper Presented at American Academy of Ophthalmology; November 10, 2008 PA040.
Koenig SB, Covert DJ. Early results of small-incision Descemet’s stripping and automated endothelial keratoplasty. Ophthalmology. 2007;114(2):221–226.
Price MO, Price FW Jr. Endothelial cell loss after descemet stripping with endothelial keratoplasty influencing factors and 2-year trend. Ophthalmology. 2008;115(5):857–865.
Basak SK, et al. Late secondary angle-closure glaucoma following Descemet stripping endothelial keratoplasty. Paper Presented at American Academy of Ophthalmology; November 10, 2008 PA040 PA039.
Price MO, Price FW Jr. Descemet’s stripping with endothelial keratoplasty: comparative outcomes with microkeratome-dissected and manually dissected donor tissue. Ophthalmology. 2006;113(11): 1936–1942.
Vajaranant TS, Price MO, Price FW, et al. Intraocular pressure measurements following Descemet stripping endothelial keratoplasty. Am J Ophthalmol. 2008;145(5):780–786.
Whitacre MM, Stein R. Sources of error with use of Goldmann-type tonometers. Surv Ophthalmol. 1993;38(1):1–30.
Pepose JS, Feigenbaum SK, Qazi MA, et al. Changes in corneal biomechanics and intraocular pressure following LASIK using static, dynamic, and noncontact tonometry. Am J Ophthalmol. 2007;143(1):39–47.
Pache M, Wilmsmeyer S, Lautebach S, Funk J. Dynamic contour tonometry versus Goldmann applanation tonometry: a comparative study. Graefes Arch Clin Exp Ophthalmol. 2005;243(8):763–767.
Francis BA, Hsieh A, Lai MY, et al. Effects of corneal thickness, corneal curvature, and intraocular pressure level on Goldmann applanation tonometry and dynamic contour tonometry. Ophthalmology. 2007;114(1):20–26.
Doyle A, Lachkar Y. Comparison of dynamic contour tonometry with goldman applanation tonometry over a wide range of central corneal thickness. J Glaucoma. 2005;14(4):288–292.
Terry MA, Ousley PJ. Deep lamellar endothelial keratoplasty: early complications and their management. Cornea. 2006;25(1):37–43.
Broadway DC, Chang LP. Trabeculectomy, risk factors for failure and the preoperative state of the conjunctiva. J Glaucoma. 2001;10(3):237–249.
Price MO, Baig KM, Brubaker JW, Price FW Jr. Randomized, prospective comparison of precut vs surgeon-dissected grafts for descemet stripping automated endothelial keratoplasty. Am J Ophthalmol. 2008;146(1):36–41.
Terry MA, Ousley PJ. Deep lamellar endothelial keratoplasty visual acuity, astigmatism, and endothelial survival in a large prospective series. Ophthalmology. 2005;112(9):1541–1548.
Alvarenga LS, Mannis MJ, Brandt JD, et al. The long-term results of keratoplasty in eyes with a glaucoma drainage device. Am J Ophthalmol. 2004;138(2):200–205.
Kwon YH, Taylor JM, Hong S, et al. Long-term results of eyes with penetrating keratoplasty and glaucoma drainage tube implant. Ophthalmology. 2001;108(2):272–278.
Ritterband DC, Shapiro D, Trubnik V, et al. Penetrating keratoplasty with pars plana glaucoma drainage devices. Cornea. 2007;26(9):1060–1066.
Sidoti PA, Mosny AY, Ritterband DC, Seedor JA. Pars plana tube insertion of glaucoma drainage implants and penetrating keratoplasty in patients with coexisting glaucoma and corneal disease. Ophthalmology. 2001;108(6):1050–1058.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-0-387-76700-0_76
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-76699-7
Online ISBN: 978-0-387-76700-0
eBook Packages: MedicineMedicine (R0)