Academic Journal

Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country

التفاصيل البيبلوغرافية
العنوان: Challenges in Managing Secondary Glaucoma Post-Repeat Penetrating Keratoplasty in a Developing Country
المؤلفون: Rusmayani,Emma, Hutauruk,Johan A, Viona,Viona
بيانات النشر: Dove Press
سنة النشر: 2023
المجموعة: Dove Medical Press
مصطلحات موضوعية: International Medical Case Reports Journal
الوصف: Emma Rusmayani,* Johan A Hutauruk,* Viona Viona* Jakarta Eye Center, Jakarta, Indonesia*These authors contributed equally to this workCorrespondence: Emma Rusmayani, Jakarta Eye Center, Terusan Arjuna Utara/1 Kedoya, West Jakarta, Jakarta, 11520, Indonesia, Email emma.rusmayani@jec.co.idPurpose: 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.Keywords: repeat penetrating keratoplasty, secondary glaucoma, blebitis, tube implant
نوع الوثيقة: article in journal/newspaper
report
وصف الملف: text/html
اللغة: English
Relation: https://www.dovepress.com/challenges-in-managing-secondary-glaucoma-post-repeat-penetrating-kera-peer-reviewed-fulltext-article-IMCRJ
الاتاحة: https://www.dovepress.com/challenges-in-managing-secondary-glaucoma-post-repeat-penetrating-kera-peer-reviewed-fulltext-article-IMCRJ
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.39D2AC97
قاعدة البيانات: BASE