title: Elevated Intraocular Pressure after Descemet Stripping Automated Endothelial Keratoplasty in Patients with a Trabeculectomy: A Case Series.
abstract: We report a case series of three patients with previous trabeculectomies who developed elevated intraocular pressure (IOP) in the immediate postoperative period after routine Descemet stripping automated endothelial keratoplasty (DSAEK). All patients had functioning trabeculectomies preoperatively, and developed elevated IOP between 41 and 69 mm Hg within 24 hours following DSAEK surgery. The IOP was successfully controlled in all patients with topical IOP-lowering medications and oral acetazolamide, with the addition of ocular massage and release of aqueous for two patients. Thereafter, all patients maintained well-controlled IOPs. Patients with trabeculectomies should be followed-up closely immediately after DSAEK to monitor for raised IOP. The mechanism for this pressure rise is uncertain, but may involve air in the trabeculectomy sclerostomy or bleb resulting in blockage of aqueous flow. How to cite this article: Sheales MPH, Chan E, Ang GS, Kong YXG. Elevated Intraocular Pressure after Descemet Stripping Automated Endothelial Keratoplasty in Patients with a Trabeculectomy: A Case Series. J Curr Glaucoma Pract 2015;9(3):100-103.
authors.affiliation: Registrar, Department of Ophthalmology, The Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
authors.forename: Mariana Patricia
authors.initials: MP
authors.lastname: Hardin Sheales
authors.affiliation: Consultant, Department of Ophthalmology, Corneal Unit, The Royal Victorian Eye and Ear Hospital; Centre for Eye Research Australia, University of Melbourne, Melbourne, Australia.
authors.forename: Elsie
authors.initials: E
authors.lastname: Chan
authors.affiliation: Consultant, Department of Ophthalmology, Glaucoma Investigation Research Unit, The Royal Victorian Eye and Ear Hospital Melbourne, Australia.
authors.forename: Ghee Soon
authors.initials: GS
authors.lastname: Ang
authors.affiliation: Glaucoma Fellow, Department of Ophthalmology, Glaucoma Investigation Research Unit, The Royal Victorian Eye and Ear Hospital Melbourne, Australia.
authors.forename: Yu Xiang
authors.initials: YX
authors.lastname: George Kong
keywords: Cornea; Descemet stripping automated endothelial keratoplasty; Glaucoma; Intraocular pressure; Trabeculectomy.