Anuradha Raj

Abstract

Glaucoma is the second leading cause of graft failure after penetrating keratoplasty. Prompt diagnosis and aggressive management is mandatory to salvage the graft. Indications of penetrating keratoplasty, lens status, additional procedures with penetrating keratoplasty, preexisting glaucoma and re-graft are the main risk factors for glaucoma after penetrating keratoplasty. Various newer modalities like recent tonopens, ultrasound biomicroscopy, and anterior segment optic coherence tomography are helpful tools for its diagnosis. Various newer drugs, surgical modifications such as trabeculectomy with antimetabolites like mitomycin-C and 5 fluorouracil, glaucoma drainage devices, cyclodestructive procedures have added the chances of success of its management, but still graft failure secondary to glaucoma is very common. Keywords: Trabeculectomy, Glaucoma drainage device, Graft failure.

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Abstract

Anophthalmos is the absence of the globe and ocular tissues from the orbit. It can be congenital or acquired which is produced by destructive procedures like enucleation and evisceration. It affects the cosmetic appearance of the patient and can be particularly devastating psychologically. The anophthalmic socket has been associated with many complications such as discharge, entropion, ectropion, exposure or extrusion of the orbital implant, infection, migration of the orbital implant, contracted socket and ptosis. This article emphasises on the management of an anophthalmic socket and its complications such as a contracted socket in grownups. Keywords Anophthalmic socket, Buccal mucosa, Contracted socket, Dermis fat graft, Implants.

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