Advances in Boston Keratoprosthesis: Enhancing Retention and Prevention of Infection and Inflammation

Khan, Bilal; Harissi‐Dagher, Mona; Khan, Danish M.; Dohlman, Claes H.

doi:10.1097/iio.0b013e318036bd8b

Cited by 142 publications

(108 citation statements)

References 19 publications

(9 reference statements)

Supporting

Mentioning

107

Contrasting

Unclassified

Order By: Relevance

“…The use of contact lens, trauma, ocular surface disease and corneal surgery are the major risk factors for infectious keratitis (10) . Among the four main risk factors for the development of infectious keratitis, the second patient of the case series showed three of them.…”

Section: Discussionmentioning

confidence: 99%

Infectious keratitis in patients undergoing Boston Type 1 keratoprosthesis (Boston KPro) procedure: case series

Nascimento¹,

Oliveira²,

Höfling-Lima³

2011

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

Description of two cases of infectious keratitis in patients after Boston Type 1 keratoprosthesis (Boston KPro) implantation. The first case refers to a patient that had the device indicated due to limbal deficiency secondary to severe dry eye who presented a fungal infection by Aerobasidium pullulans that was successfully treated with amphotericin B eye drops. The second case reports a patient with Boston KPro implantation due to previous corneal transplant rejection showing bacterial keratitis in the fourth postoperative month. The etiologic agent was identified as Streptococcus sp and topical treatment with vancomycin was effective. The importance of postoperative surveillance in Boston KPro eyes is discussed. Keywords

show abstract

Section: Discussionmentioning

confidence: 99%

Infectious keratitis in patients undergoing Boston Type 1 keratoprosthesis (Boston KPro) procedure: case series

Nascimento¹,

Oliveira²,

Höfling-Lima³

2011

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

show abstract

“…The Boston keratoprosthesis has a collar button design, made of polymethyl methacrylate (PMMA) (2,6) . The BKPro has 2 configurations.…”

Section: Boston Keratoprosthesis Devicesmentioning

confidence: 99%

“…The type II BKPro has a similar design, with an added 2 mm long anterior cylinder that protrudes through the lids or between a tarsorraphy ( Figure 3). It is reserved for cicatrizing corneal diseases with poor tear function (2,7) . The type I BKPro dioptric power is polished into its front plate power, and the devices differ based on the eye phakic status: one design for aphakia and the other for pseudophakia.…”

Section: Boston Keratoprosthesis Devicesmentioning

confidence: 99%

“…Since that time, several attempts to develop a modern keratoprosthesis to treat patients with corneal blindness and a poor prognosis for penetrating keratoplasty have been developed, with various models using different material, innovative designs and surgi cal techniques (2,3) . Despite progress in the conception of keratoprosthesis, the hete rogeneity of the results related to different devices and the serious complications historically described, hampered the acceptance of the keratoprosthesis as a safe option for surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Boston type I keratoprosthesis: Review

Magalhães

Sousa

Oliveira

2012

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

Regardless of significant progress in the field of corneal transplantation to treat cor neal opacification, some cases of corneal blindness still present a poor prognosis for conventional penetrating keratoplasty. In patients with repeated graft fai lure and/or with severe ocular surface disease, the Boston type I keratoprosthesis (type I BKPro) has become a viable option. Modifications in its design and postoperative management have improved the longterm outcomes of visual acuity, retention, and postoperative infection rates. These advances made the type I BKPro be considered a safe alternative for visual rehabilitation in many patients with corneal pathologies. However, postoperative handle of chronic comorbidities, such as glaucoma, is still critical for preserving the visual gains achieved with BKPro.

show abstract

“…[9][10][11][12] Design modifications, enhanced surgical technique, and improved postoperative management have made keratoprosthesis surgery a reality in the twenty-first century and an excellent alternative for poor PK candidates. [13][14][15][16][17][18] CCOs in children, although infrequent, continue to be challenging to manage. 19 The ability to achieve a quiet and comfortable eye with a clear visual axis and stable refraction within days following Boston KPro surgery is a significant advantage in pediatric corneal transplantation and plays an even more important role in children at high risk for amblyopia.…”

mentioning

confidence: 99%

Boston Keratoprosthesis: expanding the boundaries

Harissi‐Dagher¹

2011

Digit J Ophthalmol

View full text Add to dashboard Cite

The Boston Keratoprosthesis (KPro) has enjoyed good results in the adult population, particularly through its rapid clearing of the visual axis, its excellent retention rate, and the paucity of postoperative complications in recent years. Design modifications, enhanced surgical technique, and improved postoperative management have made keratoprosthesis surgery a reality in the twenty-first century and an excellent alternative for poor PK candidates.

show abstract

Advances in Boston Keratoprosthesis: Enhancing Retention and Prevention of Infection and Inflammation

Cited by 142 publications

References 19 publications

Infectious keratitis in patients undergoing Boston Type 1 keratoprosthesis (Boston KPro) procedure: case series

Infectious keratitis in patients undergoing Boston Type 1 keratoprosthesis (Boston KPro) procedure: case series

Boston type I keratoprosthesis: Review

Boston Keratoprosthesis: expanding the boundaries

Contact Info

Product

Resources

About