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Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt

Corneal melt is a sight-threatening complication of Boston type 1 keratoprosthesis (KPro). Severe corneal melt may result in hypotony, choroidal hemorrhage, and even spontaneous extrusion of the KPro, which may lead to a poor visual prognosis. Lamellar keratoplasty is one surgical option for the man...

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Autores principales: Zeng, Liangbo, Chen, Miao, Lin, Lixia, Zhai, Jiajie, Chen, Jiaqi, Gu, Jianjun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491063/
https://www.ncbi.nlm.nih.gov/pubmed/37417141
http://dx.doi.org/10.4103/IJO.IJO_76_23
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author Zeng, Liangbo
Chen, Miao
Lin, Lixia
Zhai, Jiajie
Chen, Jiaqi
Gu, Jianjun
author_facet Zeng, Liangbo
Chen, Miao
Lin, Lixia
Zhai, Jiajie
Chen, Jiaqi
Gu, Jianjun
author_sort Zeng, Liangbo
collection PubMed
description Corneal melt is a sight-threatening complication of Boston type 1 keratoprosthesis (KPro). Severe corneal melt may result in hypotony, choroidal hemorrhage, and even spontaneous extrusion of the KPro, which may lead to a poor visual prognosis. Lamellar keratoplasty is one surgical option for the management of mild corneal melt, especially when a new KPro is not available. Herein, we present a new surgical technique application, intra-operative optical coherence tomography (iOCT) for the management of cornea graft melt after Boston type 1 KPro implantation. The visual acuity and the intra-ocular maintained stable at 6 months post-operatively, and the KPro remained in place without corneal melting, epithelial ingrowth, or infection. iOCT may prove to be a real-time, non-invasive, and accurate treatment for corneal lamellar dissection and suturing beneath the anterior plate of the KPro, which can effectively help the surgeon to make surgical decisions and reduce post-operative complications.
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spelling pubmed-104910632023-09-09 Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt Zeng, Liangbo Chen, Miao Lin, Lixia Zhai, Jiajie Chen, Jiaqi Gu, Jianjun Indian J Ophthalmol Surgical Technique Corneal melt is a sight-threatening complication of Boston type 1 keratoprosthesis (KPro). Severe corneal melt may result in hypotony, choroidal hemorrhage, and even spontaneous extrusion of the KPro, which may lead to a poor visual prognosis. Lamellar keratoplasty is one surgical option for the management of mild corneal melt, especially when a new KPro is not available. Herein, we present a new surgical technique application, intra-operative optical coherence tomography (iOCT) for the management of cornea graft melt after Boston type 1 KPro implantation. The visual acuity and the intra-ocular maintained stable at 6 months post-operatively, and the KPro remained in place without corneal melting, epithelial ingrowth, or infection. iOCT may prove to be a real-time, non-invasive, and accurate treatment for corneal lamellar dissection and suturing beneath the anterior plate of the KPro, which can effectively help the surgeon to make surgical decisions and reduce post-operative complications. Wolters Kluwer - Medknow 2023-07 2023-07-05 /pmc/articles/PMC10491063/ /pubmed/37417141 http://dx.doi.org/10.4103/IJO.IJO_76_23 Text en Copyright: © 2023 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Surgical Technique
Zeng, Liangbo
Chen, Miao
Lin, Lixia
Zhai, Jiajie
Chen, Jiaqi
Gu, Jianjun
Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt
title Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt
title_full Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt
title_fullStr Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt
title_full_unstemmed Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt
title_short Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt
title_sort intra-operative optical coherence tomography in corneal lamellar graft reinforcement for boston type i keratoprosthesis corneal melt
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491063/
https://www.ncbi.nlm.nih.gov/pubmed/37417141
http://dx.doi.org/10.4103/IJO.IJO_76_23
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