AI Article Synopsis
- The study aimed to assess how Descemet stripping automated endothelial keratoplasty (DSAEK) affects the visual field (VF) in patients with advanced glaucoma who have already undergone trabeculectomy.
- Results showed significant improvement in VF and best-corrected visual acuity (BCVA) for most eyes after the procedure, with 63.2% of eyes demonstrating better VF measurements.
- There were no notable changes in intraocular pressure (IOP) or the number of glaucoma medications after surgery, indicating DSAEK is a beneficial option for enhancing vision in advanced glaucoma cases.
Article Abstract
: To evaluate changes in the visual field (VF) after Descemet stripping automated endothelial keratoplasty (DSAEK) in eyes with advanced glaucoma and previous trabeculectomy. : Changes in VF, best-corrected visual acuity (BCVA), intraocular pressure (IOP), and number of glaucoma medications were analyzed before and after DSAEK in 19 eyes. The VFs were evaluated using the 10-2 program of the Humphrey Field Analyzer (HFA) and/or Goldmann perimetry (GP). : In nine eyes, the MD improved from -22.24 ± 6.5 dB to -18.36 ± 5.1 dB in HFA. In five out of nine eyes, postoperative MD improved >1 dB compared to preoperative MD. In GP testing, 10 out of 15 eyes showed an improvement, that is, greater than 20° in VF enlargement by the isopter of I-4e and/or new detection of a smaller or darker isopter. Overall, improvement in VF with the HFA and/or GP test was observed in 12/19 (63.2%) eyes after DSAEK. Postoperative BCVA improved by more than two lines in logMAR VA in 18 of 19 (94.7%) eyes. There were no significant differences between the preoperative and postoperative IOP and the number of glaucoma medications. : DSAEK may produce subjective improvement in the visual field as well as improved visual acuity, even in advanced glaucomatous eyes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10934157 | PMC |
| http://dx.doi.org/10.3390/jcm13051431 | DOI Listing |
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