PK for iridocorneal endothelial syndrome yields visual gains, high graft survival

PHILADELPHIA — Penetrating keratoplasty improved vision in patients with iridocorneal endothelial syndrome, according to a study presented here. “ICE syndrome and corneal decompensation can benefit from transplantation, but you have to be careful about intraocular pressure. You have to worry about additional surgery, not only repeat transplant but additional glaucoma surgery,” Ajay B. Shalwala, MD, said at the Wills Eye Annual Conference. “Endothelial keratoplasty has been shown to be effective in ICE syndrome. The largest series to demonstrate that is three patients. So, if we did larger studies of that, maybe we’d find that the results are even better than PK since it’s primarily an endothelial problem.”