Anatomical Outcome of Vitreoretinal Surgery Using Temporary Keratoprosthesis and Replacement of the Trephined Corneal Button for Severe Open Globe Injuries: One-Year Result

In this case series of 74 patients with coexisting vitreoretinal injury and severe corneal opacification, after temporary keratoprosthesis (TKP) assisted pars plana vitrectomy (PPV), an allograft corneal transplant was not performed at the same time; instead, the patient’s trephined corneal button w...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Ophthalmology 2014-01, Vol.2014 (3), p.333-337
Main Authors: Ma, Zhi-Zhong, Hu, Yun-Tao, Feng, Kang, Feng, Xue-Feng, Dou, Hong-Liang, Wang, Chang-Guan, Chen, Hui-Jin, Xu, Yi-Min
Format: Article
Language:English
Subjects:
Care and treatment
Clinical Study
Cornea
Endothelium
Eye injuries
Eye surgery
Injuries
Patient outcomes
Patients
Retinal detachment
Trauma
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In this case series of 74 patients with coexisting vitreoretinal injury and severe corneal opacification, after temporary keratoprosthesis (TKP) assisted pars plana vitrectomy (PPV), an allograft corneal transplant was not performed at the same time; instead, the patient’s trephined corneal button was sutured back. One year after the surgery, if intraocular pressure of the injured eyes was above 8 mmHg, removing silicone oil was attempted, and penetrating keratoplasty could be performed. Finally, 10 eyes (13.5%) were enucleated due to atrophia bulbi; 46 eyes (62.2%) were silicone-oil sustained; 15 eyes (20.3%) were anatomically restored; and 3 eyes (4.0%) experienced recurrent retinal detachment. These figures only demonstrate a small percentage of the injured eyes in our series, which have PKP indications. It is a practical option to suture back the patient’s trephined cornea following a TKP assisted PPV; keratoplasty was reserved for selected cases.
ISSN:2090-004X
2090-0058
DOI:10.1155/2014/794039