NYMC Faculty Publications

Angle Closure After Boston Keratoprosthesis

Author Type(s)

Faculty

DOI

10.1097/IJG.0b013e318259b2fc

Journal Title

Journal of Glaucoma

First Page

725

Last Page

729

Document Type

Article

Publication Date

12-1-2013

Department

Ophthalmology

Abstract

PURPOSE: To evaluate changes in the anterior chamber angle after Boston keratoprosthesis (KPro) placement.

PATIENTS/METHODS: Ten patients were serially imaged with anterior segment optical coherence tomography after Boston KPro surgery. Angles were judged to be open or closed in the horizontal axis.

RESULTS: Seven of 10 patients had open angles before KPro placement. Within 4 months, 4 of 7 patients developed angle closure. Contact between the iris and the backplate was seen in 3 of these patients. Two of the 4 eyes demonstrated progressive angle closure. Intraocular pressure was elevated in 3 patients postoperatively due to the obstruction of a glaucoma drainage device tube (1 eye) and angle closure (2 eyes).

CONCLUSIONS: After Boston KPro surgery, patients must be carefully monitored for the onset or progression of glaucoma. Progressive angle closure can occur after placement of a Boston KPro and may be seen in conjunction with irido-backplate touch.

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