DR. RAKESH SHAKYA

DR. NAVJOT SINGH AHLUWALIA

Abstract

AIM :To evaluate gonioscopic changes in pts of DSEK without pre-existing OHT and its correlation with post-surgery OHT, graft survival and visual outcomes

Methods-Retrospectively post DSEK pts April 2014 to March 2018 with 2 yrs of follow up .

Results: total 58 pts, mean age of 61.44 ± 8.8yrs . 22.41% (13/58) eyes showed elevated (IOP) . Most common cause of IOP elevation steroid-induced OHT (12.06%). On Goni (PAS) in 17 eyes. OHT was in 4/17 (23.5%) eyes having PAS. 3 of these cases trabe + goniosynechiolysis (GSL) and in 4th GSL done control IOP.Those 4 cases also required repeat DSEK for failed grafts. Mean pre OP BCVA was 1.62 logMAR which gradually improved to 0.79 logMAR (range 0.3-1.77) after 2 years (p<0.00001).

Conclusion :PAS was found to be an important factor associated with post-DSEK ocular hypertension in our study. OHT in PAS cases required definitive surgical treatments to control IOP. It adversely affected the graft survival and in turn affected visual outcomes