6 doctors weighed in:

If the eye pressure does not go down with the Xalatan (latanoprost) and cosopt will i need a cornea transplant?

6 doctors weighed in
Dr. Richard Lehrer
Ophthalmology
2 doctors agree

In brief: Not necessarily

Many patients with corneal transplants have glaucoma, sometimes related to medications used to prevent rejection.
If medications and laser are inadequate to control pressure, glaucoma surgery may be required. Sometimes after glaucoma surgery, transplants can fail and require repeat corneal transplants. Your glaucoma and corneal specialists should work together closely on these issues.

In brief: Not necessarily

Many patients with corneal transplants have glaucoma, sometimes related to medications used to prevent rejection.
If medications and laser are inadequate to control pressure, glaucoma surgery may be required. Sometimes after glaucoma surgery, transplants can fail and require repeat corneal transplants. Your glaucoma and corneal specialists should work together closely on these issues.
Dr. Richard Lehrer
Dr. Richard Lehrer
Thank
Dr. David Campbell
Ophthalmology
1 doctor agrees

In brief: Glaucoma

Elevated eye pressure is related to glaucoma, a disease that can damage the optic nerve and cause vision loss.
If medications fail to control your glaucoma, then surgery is the probable next step. Depending on the clarity of your corneal transplant, it may need to be replaced if it prevents the surgeon from safely performing the glaucoma portion of the surgery.

In brief: Glaucoma

Elevated eye pressure is related to glaucoma, a disease that can damage the optic nerve and cause vision loss.
If medications fail to control your glaucoma, then surgery is the probable next step. Depending on the clarity of your corneal transplant, it may need to be replaced if it prevents the surgeon from safely performing the glaucoma portion of the surgery.
Dr. David Campbell
Dr. David Campbell
Thank
1 comment
Dr. Todd Purkiss
Cornea transplant is not really an answer to high eye pressure, unless something about your cornea is causing the eye pressure elevation. That said, there are surgical options for eye pressure control, if eye drops are not sufficient. The least invasive is laser. If that isn't effective, an alternative path for fluid drainage out of the eye can be created with a trabeculectomy or tube shunt.
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