Journal article
Eyelid Procedures in Patients Who Have Undergone Boston Keratoprosthesis Surgery
Ophthalmic plastic and reconstructive surgery, Vol.28(4), pp.286-288
07/01/2012
DOI: 10.1097/IOP.0b013e31825b648e
PMID: 22689137
Abstract
Purpose: Artificial corneas or keratoprostheses such as the Boston keratoprosthesis (KPro) are being used more frequently to provide a clear corneal window in patients with severe corneal disease. A significant percentage of patients who undergo Boston KPro implantation require subsequent eyelid surgery. However, few articles in peer-reviewed literature evaluate the indication and outcome of eyelid procedures after Boston KPro implantation. This study examines the frequency, nature, and outcomes of oculoplastic procedures in patients with Boston KPro implantation.
Methods: A retrospective chart review was conducted of all KPro-1 procedures performed at the University of Illinois at Chicago between December 2006 and September 2010 and all KPro-1 and KPro-2 procedures performed at the University of Iowa between December 2008 and October 2010.
Results: One hundred and twenty eyes underwent Boston KPro-1 procedures, and 2 eyes underwent Boston KPro-2 procedures. Twenty-one (17.2%) of the 122 eyes required subsequent eyelid alterations. Chemical burn was the most common preoperative corneal diagnosis (8 of 21; 38.1%). A variety of oculoplastic procedures were performed; the most common procedure was a permanent lateral tarsorrhaphy. Seventeen (81.0%) of 21 KPro eyes that underwent oculoplastic procedures maintained the KPro at an average of 12.4 months of follow up.
Conclusions: A significant number of patients with Boston KPros require subsequent eyelid surgery. With limited existing literature and increasing popularity for using Boston KPros to treat severe corneal disease, it is essential for oculoplastic and corneal surgeons to understand the need for eyelid alterations in these patients and the surgical intricacies surrounding these cases. (Ophthal Plast Reconstr Surg 2012;28:286-288)
Details
- Title: Subtitle
- Eyelid Procedures in Patients Who Have Undergone Boston Keratoprosthesis Surgery
- Creators
- Meredith S. Baker - University of IowaMark Krakauer - University of Illinois Urbana-ChampaignShivani Gupta - University of Illinois Urbana-ChampaignJose de la Cruz - University of Illinois Urbana-ChampaignMaria S. Cortina - University of Illinois Urbana-ChampaignAnna S. Kitzmann - University of IowaKenneth M. Goins - University of IowaRichard C. Allen - University of IowaPete Setabutr - University of Illinois Urbana-Champaign
- Resource Type
- Journal article
- Publication Details
- Ophthalmic plastic and reconstructive surgery, Vol.28(4), pp.286-288
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/IOP.0b013e31825b648e
- PMID
- 22689137
- ISSN
- 0740-9303
- eISSN
- 1537-2677
- Number of pages
- 3
- Language
- English
- Date published
- 07/01/2012
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984806510102771
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