Abstract:Vitreoretinal surgery in eyes with Pintucci biointegrable keratoprosthesis is a highly challenging situation that requires intricate planning and an integrated approach. However, it can result in good anatomical and functional outcomes.
“…8 In managing these cases, we have drawn from our past experience with management of eyes with BKP and the other types of permanent keratoprosthesis. 2,9,10 The mean time interval between KP implant and the occurrence of VR complication(s) in our study was 8 months. Goldman et al have reported the same to be 5.6 months in their study.…”
Retroprosthetic membrane and retinal detachment are most common vitreoretinal complications in eyes with Boston keratoprosthesis. Vitreoretinal complications can be managed by appropriate intervention in such eyes with encouraging anatomical and functional results.
“…8 In managing these cases, we have drawn from our past experience with management of eyes with BKP and the other types of permanent keratoprosthesis. 2,9,10 The mean time interval between KP implant and the occurrence of VR complication(s) in our study was 8 months. Goldman et al have reported the same to be 5.6 months in their study.…”
Retroprosthetic membrane and retinal detachment are most common vitreoretinal complications in eyes with Boston keratoprosthesis. Vitreoretinal complications can be managed by appropriate intervention in such eyes with encouraging anatomical and functional results.
“…2,4 In post-Pintucci biointegrable keratoprosthesis eyes, time to VR complications ranged from 10 days to 8 months. 10 In the 41 post-OOKP eyes (45%) that had VR complications, 26 of 41 eyes (63%) had 34 of 59 complication episodes (57%) and required surgical management. In other words, 34 of 92 post-mOOKP surgery eyes (37%) required surgical VR intervention.…”
Vitreoretinal complications constitute a significant cause of visual morbidity in eyes undergoing mOOKP surgery and pose a challenging situation to manage. However, appropriate and timely intervention can achieve encouraging results.
“…42,55,73,74 Vitrectomy with a permanent KPro is safe and has no deleterious effects on the donor cornea/graft KPro device. Cohort studies report the incidence of vitrectomy after KPro placement to be around 7%.…”
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