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Int J Ophthalmol. 2021 Nov 18;14(11):1791-1795. doi: 10.18240/ijo.2021.11.21. eCollection 2021.

A novel temporary keratoprosthesis technique for vitreoretinal surgery.

International journal of ophthalmology

Christos Skevas, Eileen Bigdon, Alexander Steinhorst, Toam Katz, Philipp Schindler, Robert Kromer, Martin Stephan Spitzer

Affiliations

  1. Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.

PMID: 34804872 PMCID: PMC8569565 DOI: 10.18240/ijo.2021.11.21

Abstract

AIM: To investigate the safety of vitreoretinal surgery when using a soft contact lens as a temporary keratoprosthesis (TKP) in patients with severe corneal opacifications.

METHODS: Three patients with simultaneous corneal and vitreoretinal pathology were treated with a soft contact lens that was used as a TKP to facilitate vitreoretinal surgery. The soft contact lens was fixated with sutures onto the globe so that no leakage was possible.

RESULTS: Vitreoretinal surgery with excellent fundus view was possible in all cases. The soft contact lens allowed safe central and peripheral vitrectomy. Surgery was successful in all cases.

CONCLUSION: A soft contact lens properly fixated on the globe can successfully replace a TKP. This surgical procedure has several advantages like one size fits all, low costs, and easy access to the material.

International Journal of Ophthalmology Press.

Keywords: combined vitreoretinal surgery; keratoprosthesis; perforating keratoplasty; temporary keratoprosthesis

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