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.
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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)
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Chemical References |
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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
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