Safety of DSAEK in patients with previous glaucoma filtering surgery.
OBJECTIVE
To report 4 cases of Descemet stripping automated endothelial keratoplasty (DSAEK) in the presence of previous glaucoma filtering surgery.


METHODS
Observational case series.


METHODS
Review of clinical data of 4 patients who underwent DSAEK successfully performed in the presence of previous glaucoma filtering surgery with endothelial survival rates comparable with larger series published previously and good postoperative intraocular pressure (IOP) control.


RESULTS
The endothelial cell loss was 36% and 39% mean cell loss at 6 months and 1 year postoperatively. The IOP remained well controlled within target levels in all patients. No complications were reported in any of the 4 cases.


CONCLUSIONS
Corneal endothelial failure can be successfully managed with DSAEK in glaucoma patients with previous filtering surgery with good endothelial survival rates and IOP control.
Esquenazi
Salomon
S
Department of Ophthalmology and Neuroscience Research, LSU Eye and Neuroscience Center, Louisiana State University, New Orleans, LA 70112, USA. sesque@lsuhsc.edu
Rand
William
W
D000368:Aged; D002470:Cell Survival / Q000502:physiology; D055954:Corneal Endothelial Cell Loss / Q000473:pathology; D057111:Descemet Stripping Endothelial Keratoplasty; D005901:Glaucoma / Q000601:surgery*; D020327:Glaucoma Drainage Implants; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008875:Middle Aged; D011183:Postoperative Complications; D014065:Tonometry, Ocular; D014130:Trabeculectomy; D014792:Visual Acuity / Q000502:physiology