Combined penetrating keratoplasty and trabeculectomy with mitomycin C.

OBJECTIVE

To evaluate corneal graft survival and intraocular pressure control in eyes that have undergone combined penetrating keratoplasty and trabeculectomy with mitomycin C (MMC).

DESIGN

Retrospective noncomparative case series.

INTERVENTION

Penetrating keratoplasty combined with trabeculectomy with MMC and other surgical procedures.

PARTICIPANTS

Twenty-four eyes of 22 patients undergoing combined penetrating keratoplasty and trabeculectomy with mitomycin C.

MAIN OUTCOME MEASURES

Corneal graft clarity and intraocular pressure control.

RESULTS

The cumulative probability of corneal graft survival was 85% at 1 year and 60% at 2 years. The cumulative probability of adequate pressure control was 67% at 3 months, 55% at 12 months, and 50% at 24 months. The incidence of bleb failure was higher in cases involving additional concomitant procedures, such as anterior vitrectomy, lens implantation or exchange, and drainage tube implantation.

CONCLUSIONS

Combined penetrating keratoplasty and trabeculectomy with mitomycin C is associated with good corneal graft survival but also a risk of early failure of intraocular pressure control. Other concomitant procedures during the combined penetrating keratoplasty/trabeculectomy may increase the risk of early bleb failure.