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Br J Ophthalmol 2008;92:1299-1300 doi:10.1136/bjo.2008.144766
  • Letter
    • PostScript

Trabeculotomy for the treatment of glaucoma after Descemet stripping endothelial keratoplasty

  1. K Yuki,
  2. S Shimmura,
  3. D Shiba,
  4. K Tsubota
  1. Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan
  1. Dr S Shimmura, Department of Ophthalmology, Keio University School of Medicine, Shinanomachi, 35 Shinjuku-ku, Tokyo, Japan; shige{at}sc.itc.keio.ac.jp
  • Accepted 28 May 2008

Descemet stripping endothelial keratoplasty (DSEK) is a surgical procedure designed for the selective replacement of diseased endothelium that causes bullous keratopathy.1 This procedure provides excellent anatomic results and more rapid visual rehabilitation than penetrating keratoplasty (PKP). Glaucoma after PKP is not rare, but glaucoma after DSEK is not reported. We report on four glaucoma patients after DSEK treated by trabeculotomy with successful results. All the consecutive patients had DSEK performed from July 2006 to January 2007. Written informed consents were obtained from all patients prior to surgery. Two patients were male, and two patients were female. The mean (SD) age was 72.0 (8.4) years (range 60–79). Two patients were pseudophakic bullous keratopathy, and two patients were laser-iridotomy-induced bullous …

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