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Management of Glaucoma Associated with Boston KPro Type I Implantation

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Book cover Keratoprostheses and Artificial Corneas

Abstract

Glaucoma affects a majority of eyes undergoing Boston Type I Keratoprosthesis (KPro; Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA) surgery and is associated with poorer postoperative outcomes. Pathophysiologic factors include underlying disease process, synechial angle closure, steroid-response intraocular pressure (IOP) elevation, and possible pupillary block. Frequent monitoring with structural and functional testing measures is required to allow for timely interventions. Glaucoma drainage implant (GDI) surgery offers a relatively effective method for IOP control, but may be fraught with long-term complications including implant/tube exposure, endophthalmitis, and KPro extrusion. A modified GDI surgical technique involving pars plana tube insertion as posterior to the corneal limbus as possible and use of a lamellar-dissected corneal patch graft may decrease the risk of postoperative complications and allow for a successful patient outcome.

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Author information

Authors and Affiliations

  1. Glaucoma Service, Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois School of Medicine, 1855 W. Taylor Street, MC 648, Suite 3.171, Chicago, IL, 60612, USA

    Ahmad A. Aref MD & Thasarat S. Vajaranant MD

Authors
  1. Ahmad A. Aref MD
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  2. Thasarat S. Vajaranant MD
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Correspondence to Ahmad A. Aref MD .

Editor information

Editors and Affiliations

  1. Cornea, External Disease and Refractive Surgery, Department of Ophthalmology and Visual Sciences, University of Illinois Eye and Ear Infirmary, Chicago, Illinois, USA

    M. Soledad Cortina

  2. Cornea, External Disease and Refractive Surgery, Department of Ophthalmology and Visual Sciences, University of Illinois Eye and Ear Infirmary, Chicago, Illinois, USA

    Jose de la Cruz

1 Electronic Supplementary Material

Video 12.1

Comprehensive approach to glaucoma surgical management in Boston type 1 keratoprosthesis (MP4 50110 kb)

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Aref, A.A., Vajaranant, T.S. (2015). Management of Glaucoma Associated with Boston KPro Type I Implantation. In: Cortina, M., de la Cruz, J. (eds) Keratoprostheses and Artificial Corneas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55179-6_12

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  • DOI: https://doi.org/10.1007/978-3-642-55179-6_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-55178-9

  • Online ISBN: 978-3-642-55179-6

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