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Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country
PURPOSE: To illustrate the complexity in managing secondary glaucoma post-repeat penetrating keratoplasty in a developing country. CASE DESCRIPTION: A patient with a history of five repeat penetrating keratoplasties (PKPs) showed good intraocular pressure (IOP) control with trabeculectomy; however,...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10032213/ https://www.ncbi.nlm.nih.gov/pubmed/36968268 http://dx.doi.org/10.2147/IMCRJ.S402944 |
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author | Rusmayani, Emma Hutauruk, Johan A Viona, Viona |
author_facet | Rusmayani, Emma Hutauruk, Johan A Viona, Viona |
author_sort | Rusmayani, Emma |
collection | PubMed |
description | PURPOSE: To illustrate the complexity in managing secondary glaucoma post-repeat penetrating keratoplasty in a developing country. CASE DESCRIPTION: A patient with a history of five repeat penetrating keratoplasties (PKPs) showed good intraocular pressure (IOP) control with trabeculectomy; however, blebitis occurred as an undesirable complication. Trabeculectomy was done rather than tube implantation due to socioeconomic factors, although it’s not an ideal treatment. After the infection subsided, we performed a bleb revision with a scleral patch graft. Intraocular pressure was high in the follow-up period after the scleral patch, therefore we decided to do tube implantation. Following glaucoma tube implant surgery, the patient had good IOP control and a clear graft after six months of follow-up. CONCLUSION: Secondary glaucoma post repeat PKPs is challenging in both diagnosis and management. Immediate action is imperative to control IOP, prevent glaucoma progression, and minimize corneal graft damage. In addition to medical reasons, socioeconomic factors should be considered. |
format | Online Article Text |
id | pubmed-10032213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-100322132023-03-23 Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country Rusmayani, Emma Hutauruk, Johan A Viona, Viona Int Med Case Rep J Case Report PURPOSE: To illustrate the complexity in managing secondary glaucoma post-repeat penetrating keratoplasty in a developing country. CASE DESCRIPTION: A patient with a history of five repeat penetrating keratoplasties (PKPs) showed good intraocular pressure (IOP) control with trabeculectomy; however, blebitis occurred as an undesirable complication. Trabeculectomy was done rather than tube implantation due to socioeconomic factors, although it’s not an ideal treatment. After the infection subsided, we performed a bleb revision with a scleral patch graft. Intraocular pressure was high in the follow-up period after the scleral patch, therefore we decided to do tube implantation. Following glaucoma tube implant surgery, the patient had good IOP control and a clear graft after six months of follow-up. CONCLUSION: Secondary glaucoma post repeat PKPs is challenging in both diagnosis and management. Immediate action is imperative to control IOP, prevent glaucoma progression, and minimize corneal graft damage. In addition to medical reasons, socioeconomic factors should be considered. Dove 2023-03-18 /pmc/articles/PMC10032213/ /pubmed/36968268 http://dx.doi.org/10.2147/IMCRJ.S402944 Text en © 2023 Rusmayani et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Case Report Rusmayani, Emma Hutauruk, Johan A Viona, Viona Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country |
title | Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country |
title_full | Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country |
title_fullStr | Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country |
title_full_unstemmed | Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country |
title_short | Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country |
title_sort | challenges in managing secondary glaucoma post-repeat penetrating keratoplasty in a developing country |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10032213/ https://www.ncbi.nlm.nih.gov/pubmed/36968268 http://dx.doi.org/10.2147/IMCRJ.S402944 |
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