Boston keratoprosthesis for keratopathy in eyes with retained silicone oil: a new indication.

Abstract

PURPOSE:

To analyze the visual outcome of Boston keratoprosthesis for keratopathy in silicone oil-filled eyes.

METHODS:

Retrospective chart review of patients with silicone oil-induced keratopathy undergoing Boston keratoprosthesis between January 2008 and June 2010 was performed. Patients received Boston keratoprosthesis as the primary procedure or after a failed penetrating keratoplasty because of silicone oil-induced keratopathy after assessing possible visual potential. Silicone oil had to be retained in all eyes because of persistent ocular hypotony.

RESULTS:

Of the 8 eyes that underwent surgery, anatomic retention and visual improvement were noted in 7 eyes (87.5%). The visual acuity improved to 20/200 or better in 6 eyes (66.67%). Repeated corneal melt necessitated the removal of the prosthesis with corneal transplant in 1 eye. Membranectomy was performed twice for retroprosthetic membrane in 1 eye.

CONCLUSIONS:

Boston keratoprosthesis seems to be a viable option for visual rehabilitation in postvitrectomized eyes with a decrease in vision due to retained silicone oil-induced keratopathy.

• Authors: Geetha Iyer, Bhaskar Srinivasan, Jaya Gupta, Pukhraj Rishi, Pratik Ranjan Sen, Pramod Bhende, Lingam Gopal, Prema Padmanabhan
• Journal: Cornea (Cornea) Vol. 30 Issue 10 Pg. 1083-7 (Oct 2011) ISSN: 1536-4798 [Electronic] United States
• PMID: 21705878 (Publication Type: Journal Article)

Chemical References

• Silicone Oils

Topics

• Adult
• Aged
• Artificial Organs
• Child
• Cornea
• Corneal Diseases (etiology, physiopathology, surgery)
• Endotamponade
• Female
• Humans
• Keratoplasty, Penetrating
• Male
• Middle Aged
• Prostheses and Implants
• Prosthesis Implantation
• Retrospective Studies
• Silicone Oils (adverse effects)
• Treatment Failure
• Visual Acuity (physiology)
• Young Adult