Official ESCRS | European Society of Cataract & Refractive Surgeons
Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


escrs app advert yo advert

Intraocular pressure after posterior lamellar keratoplasty

Search Title by author or title

Session Details

Session Title: Glaucoma I

Session Date/Time: Sunday 11/09/2016 | 14:30-16:00

Paper Time: 14:36

Venue: Auditorium C6

First Author: : A.Klezlova CZECH REPUBLIC

Co Author(s): :    K. Hlozankova   D. Krizova   P. Studeny              

Abstract Details


The aim of the study was to evaluate the postoperative changes of intraocular pressure (IOP) after Descemet membrane endothelial keratoplasty with a stromal rim (DMEK-S).


Ophthalmology department of 3rd Medical Faculty and University Hospital Kralovske Vinohrady, Prague, Czech Republic


We performed a retrospective review of medical records of 299 patients (488 eyes) who underwent operation DMEK-S from April 2007 to June 2015. The average age of patients was 71 ± 11 and follow-up time was 18,5 ± 17,7 months. The criteria for postoperative IOP elevation was IOP ≥ 24 mmHg.


The incidence of postoperative pupillary block was 3,7% (18 eyes). The postoperative IOP was increased in 7,6% (37 eyes). Increased IOP was medically treated by reducing steroids and initiating or increasing glaucoma medication. The increased of IOP was persistent in 4,5% (22 eyes). Three patients with persistent elevation of IOP had to undergo antiglaucoma surgery- two of them deep sclerectomy with T-flux implant (Zeiss) and in one case Express shunt implantation (Alcon).


Intraocular pressure following DMEK-S can be increased in early postoperative time due to presence of air bubble in the anterior segment. The next cause of increased IOP in long term follow-up is concurrent steroid therapy. More than half of our patients with postoperative IOP elevation had increased of IOP even following cessation of steroid therapy.

Financial Disclosure:


Back to previous