Boston type 1 keratoprosthesis for primary congenital glaucoma

Jaclyn M Haugsdal; Kenneth M Goins; Mark A Greiner; Young H Kwon; Wallace L M Alward; Michael D Wagoner

doi:10.1136/bjophthalmol-2015-307190

Back

Boston type 1 keratoprosthesis for primary congenital glaucoma

Journal article

Peer reviewed

Boston type 1 keratoprosthesis for primary congenital glaucoma

Jaclyn M Haugsdal, Kenneth M Goins, Mark A Greiner, Young H Kwon, Wallace L M Alward and Michael D Wagoner

British journal of ophthalmology, Vol.100(3), pp.328-331

03/2016

DOI: 10.1136/bjophthalmol-2015-307190

PMID: 26206789

View Online

Abstract

To evaluate the Boston type 1 keratoprosthesis (KPro-1) in treatment of eyes with primary congenital glaucoma. A retrospective review was performed of every eye with congenital glaucoma that was treated with a KPro-1 at a tertiary eye care centre between 1 January 2008 and 1 July 2014. The main outcome measures were visual outcome, prosthesis retention and postoperative complications. Six eyes of six patients met the inclusion criteria. This included two paediatric patients, aged 6 months and 6 years, and four adults who were 27-33 years of age. Preoperatively, the best corrected visual acuity (BCVA) was worse than 20/400 in every eye. Three eyes had hand motions and one eye had light perception vision. After a mean follow-up period of 31 months (range 16-51 months), three eyes (50.0%) had a BCVA that was ≥20/400. Overall, the BCVA improved in four eyes (66.7%), and remained the same in two eyes (33.3%). The device was retained in six eyes (83.3%). One or more complications occurred in five eyes (83.3%) and included sterile corneal ulceration (three eyes), retroprosthetic membrane formation (three eyes), progressive glaucomatous optic neuropathy (two eyes), device extrusion (one eye) and an epiretinal membrane (one eye). The Boston KPro-1 has an excellent prognosis for retention in eyes with congenital glaucoma. The visual prognosis remains guarded due to the high prevalence of pre-existing ocular comorbidity and the common occurrence of sight-threatening postoperative complications.

Prosthesis Implantation

Follow-Up Studies

Intraocular Pressure

Humans

Bioprosthesis

Glaucoma Drainage Implants

Infant

Glaucoma - surgery

Glaucoma - congenital

Corneal Diseases - surgery

Corneal Diseases - physiopathology

Vision Disorders - rehabilitation

Graft Survival - physiology

Adult

Retrospective Studies

Artificial Organs

Child

Postoperative Complications

Visual Acuity - physiology

Details

Title: Subtitle: Boston type 1 keratoprosthesis for primary congenital glaucoma
Creators: Jaclyn M Haugsdal - Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
Kenneth M Goins - Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
Mark A Greiner - Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA Cornea Research Center, Stephen A Wynn Institute for Vision Research, Iowa City, Iowa, USA
Young H Kwon - Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
Wallace L M Alward - Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
Michael D Wagoner - Department of Ophthalmology and Visual Sciences, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA Cornea Research Center, Stephen A Wynn Institute for Vision Research, Iowa City, Iowa, USA
Resource Type: Journal article
Publication Details: British journal of ophthalmology, Vol.100(3), pp.328-331
Publisher: England
DOI: 10.1136/bjophthalmol-2015-307190
PMID: 26206789
ISSN: 0007-1161
eISSN: 1468-2079
Language: English
Date published: 03/2016
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9983979969902771

Metrics

23 Record Views

8 Times Cited - Web of Science

See more details