Keratoprostheses for corneal blindness: a review of contemporary devices

Venkata S Avadhanam,1,2 Helen E Smith,2 Christopher Liu1–3 1Sussex Eye Hospital, 2Brighton and Sussex Medical School, Brighton, 3Tongdean Eye Clinic, Hove, UK Abstract: According to the World Health Organization, globally 4.9 million are blind due to corneal pathology. Corneal t...

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Autores principales: Avadhanam VS, Smith HE, Liu C
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:aac0d784f58b493d925814c43bcc9c232021-12-02T02:46:26ZKeratoprostheses for corneal blindness: a review of contemporary devices1177-5483https://doaj.org/article/aac0d784f58b493d925814c43bcc9c232015-04-01T00:00:00Zhttp://www.dovepress.com/keratoprostheses-for-corneal-blindness-a-review-of-contemporary-device-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Venkata S Avadhanam,1,2 Helen E Smith,2 Christopher Liu1–3 1Sussex Eye Hospital, 2Brighton and Sussex Medical School, Brighton, 3Tongdean Eye Clinic, Hove, UK Abstract: According to the World Health Organization, globally 4.9 million are blind due to corneal pathology. Corneal transplantation is successful and curative of the blindness for a majority of these cases. However, it is less successful in a number of diseases that produce corneal neovascularization, dry ocular surface and recurrent inflammation, or infections. A keratoprosthesis or KPro is the only alternative to restore vision when corneal graft is a doomed failure. Although a number of KPros have been proposed, only two devices, Boston type-1 KPro and osteo-odonto-KPro, have came to the fore. The former is totally synthetic and the latter is semi-biological in constitution. These two KPros have different surgical techniques and indications. Keratoprosthetic surgery is complex and should only be undertaken in specialized centers, where expertise, multidisciplinary teams, and resources are available. In this article, we briefly discuss some of the prominent historical KPros and contemporary devices. Keywords: keratoprosthesis, OOKP, KPro, Boston KPro, cornea, ocular surface Avadhanam VSSmith HELiu CDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 697-720 (2015)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Avadhanam VS
Smith HE
Liu C
Keratoprostheses for corneal blindness: a review of contemporary devices
description Venkata S Avadhanam,1,2 Helen E Smith,2 Christopher Liu1–3 1Sussex Eye Hospital, 2Brighton and Sussex Medical School, Brighton, 3Tongdean Eye Clinic, Hove, UK Abstract: According to the World Health Organization, globally 4.9 million are blind due to corneal pathology. Corneal transplantation is successful and curative of the blindness for a majority of these cases. However, it is less successful in a number of diseases that produce corneal neovascularization, dry ocular surface and recurrent inflammation, or infections. A keratoprosthesis or KPro is the only alternative to restore vision when corneal graft is a doomed failure. Although a number of KPros have been proposed, only two devices, Boston type-1 KPro and osteo-odonto-KPro, have came to the fore. The former is totally synthetic and the latter is semi-biological in constitution. These two KPros have different surgical techniques and indications. Keratoprosthetic surgery is complex and should only be undertaken in specialized centers, where expertise, multidisciplinary teams, and resources are available. In this article, we briefly discuss some of the prominent historical KPros and contemporary devices. Keywords: keratoprosthesis, OOKP, KPro, Boston KPro, cornea, ocular surface 
format article
author Avadhanam VS
Smith HE
Liu C
author_facet Avadhanam VS
Smith HE
Liu C
author_sort Avadhanam VS
title Keratoprostheses for corneal blindness: a review of contemporary devices
title_short Keratoprostheses for corneal blindness: a review of contemporary devices
title_full Keratoprostheses for corneal blindness: a review of contemporary devices
title_fullStr Keratoprostheses for corneal blindness: a review of contemporary devices
title_full_unstemmed Keratoprostheses for corneal blindness: a review of contemporary devices
title_sort keratoprostheses for corneal blindness: a review of contemporary devices
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/aac0d784f58b493d925814c43bcc9c23
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