Keyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt

Thomas John,1,2,&ast; Sean Tighe,3,4,&ast; Hosam Sheha4,5,&ast; 1Thomas John Vision Institute, Tinley Park, IL, USA; 2Department of Ophthalmology, Loyola University at Chicago, Maywood, IL, USA; 3Department of Biochemistry and Molecular Biology, University of Miami, Miami, FL, USA; 4Depa...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	John T, Tighe S, Sheha H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	corneal melt keratoprosthesis lamellar keratoplasty. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/a9c736d9e1e94c0baf5866d89266aefa
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a9c736d9e1e94c0baf5866d89266aefa
record_format	dspace
spelling	oai:doaj.org-article:a9c736d9e1e94c0baf5866d89266aefa2021-12-02T18:51:31ZKeyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt1177-5483https://doaj.org/article/a9c736d9e1e94c0baf5866d89266aefa2021-10-01T00:00:00Zhttps://www.dovepress.com/keyhole-anterior-lamellar-keratoplasty-for-boston-keratoprosthesis-cor-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Thomas John,1,2,&ast; Sean Tighe,3,4,&ast; Hosam Sheha4,5,&ast; 1Thomas John Vision Institute, Tinley Park, IL, USA; 2Department of Ophthalmology, Loyola University at Chicago, Maywood, IL, USA; 3Department of Biochemistry and Molecular Biology, University of Miami, Miami, FL, USA; 4Department of Ophthalmology, Florida International University Herbert Wertheim College of Medicine & Glaucoma Research Organization, Miami, FL, USA; 5Department of Ophthalmology, Manhattan Eye, Ear, and Throat Hospital, Hofstra Northwell School of Medicine, New York, NY, USA&ast;These authors contributed equally to this workCorrespondence: Hosam ShehaManhattan Eye, Ear, and Throat Hospital, 210 East 64th Street, New York, NY, 10065, USATel +1 917-810-9555Email Hoss88@gmail.comSean TigheDepartment of Ophthalmology, Florida International University, 11200 SW 8th Street, Miami, FL, 33199, USATel +1 813-690-0099Email seanthomastighe@gmail.comAbstract: Corneal melt remains a challenging complication of Boston keratoprosthesis (KPro) and may lead to disastrous consequences such as endophthalmitis, KPro extrusion, and permanent loss of vision. Several procedures have been suggested to repair established melts; however, KPro removal or exchange is often required due to high recurrence. We herein describe a novel surgical technique to repair corneal melt: a lamellar corneal graft is centrally trephined, and a radial cut is extended from the central opening to create a keyhole graft. The graft is draped around the KPro and tightly secured around the central stem. The radial cut is closed with sutures, and the graft is secured into the underlying tissue with fibrin glue and sutures. The graft remains stable with the KPro in place, while the patients maintain a 20/200 vision or better at two years. This technique is a useful alternative for securing KPro and preventing corneal melt recurrence.Keywords: corneal melt, keratoprosthesis, lamellar keratoplastyJohn TTighe SSheha HDove Medical Pressarticlecorneal meltkeratoprosthesislamellar keratoplasty.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3993-3996 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	corneal melt keratoprosthesis lamellar keratoplasty. Ophthalmology RE1-994
spellingShingle	corneal melt keratoprosthesis lamellar keratoplasty. Ophthalmology RE1-994 John T Tighe S Sheha H Keyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt
description	Thomas John,1,2,&ast; Sean Tighe,3,4,&ast; Hosam Sheha4,5,&ast; 1Thomas John Vision Institute, Tinley Park, IL, USA; 2Department of Ophthalmology, Loyola University at Chicago, Maywood, IL, USA; 3Department of Biochemistry and Molecular Biology, University of Miami, Miami, FL, USA; 4Department of Ophthalmology, Florida International University Herbert Wertheim College of Medicine & Glaucoma Research Organization, Miami, FL, USA; 5Department of Ophthalmology, Manhattan Eye, Ear, and Throat Hospital, Hofstra Northwell School of Medicine, New York, NY, USA&ast;These authors contributed equally to this workCorrespondence: Hosam ShehaManhattan Eye, Ear, and Throat Hospital, 210 East 64th Street, New York, NY, 10065, USATel +1 917-810-9555Email Hoss88@gmail.comSean TigheDepartment of Ophthalmology, Florida International University, 11200 SW 8th Street, Miami, FL, 33199, USATel +1 813-690-0099Email seanthomastighe@gmail.comAbstract: Corneal melt remains a challenging complication of Boston keratoprosthesis (KPro) and may lead to disastrous consequences such as endophthalmitis, KPro extrusion, and permanent loss of vision. Several procedures have been suggested to repair established melts; however, KPro removal or exchange is often required due to high recurrence. We herein describe a novel surgical technique to repair corneal melt: a lamellar corneal graft is centrally trephined, and a radial cut is extended from the central opening to create a keyhole graft. The graft is draped around the KPro and tightly secured around the central stem. The radial cut is closed with sutures, and the graft is secured into the underlying tissue with fibrin glue and sutures. The graft remains stable with the KPro in place, while the patients maintain a 20/200 vision or better at two years. This technique is a useful alternative for securing KPro and preventing corneal melt recurrence.Keywords: corneal melt, keratoprosthesis, lamellar keratoplasty
format	article
author	John T Tighe S Sheha H
author_facet	John T Tighe S Sheha H
author_sort	John T
title	Keyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt
title_short	Keyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt
title_full	Keyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt
title_fullStr	Keyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt
title_full_unstemmed	Keyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt
title_sort	keyhole anterior lamellar keratoplasty for boston keratoprosthesis corneal melt
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/a9c736d9e1e94c0baf5866d89266aefa
work_keys_str_mv	AT johnt keyholeanteriorlamellarkeratoplastyforbostonkeratoprosthesiscornealmelt AT tighes keyholeanteriorlamellarkeratoplastyforbostonkeratoprosthesiscornealmelt AT shehah keyholeanteriorlamellarkeratoplastyforbostonkeratoprosthesiscornealmelt
_version_	1718377403245395968

Keyhole Anterior Lamellar Keratoplasty for Boston Keratoprosthesis Corneal Melt

Ejemplares similares