Long-Term Use of a Temporary Keratoprosthesis and Perfluorocarbon in Traumatic Retinal Detachment Repair.

Document Type

Article

Publication Date

11-18-2023

Publication Title

Journal of vitreoretinal diseases

Abstract

PURPOSE: To present a technique for optimizing repair of traumatic retinal detachments (RDs).

METHODS: A patient was followed in an outpatient setting with clinical examinations, optical coherence tomography, widefield fundus photography, and anterior segment imaging.

RESULTS: The patient presented with a total RD after ruptured globe repair. The patient had combined corneal and retinal surgery with placement of a temporary keratoprosthesis (TKP) and vitrectomy with perfluorocarbon liquid (PFCL) to reattach the retina. The TKP and PFCL were left in the eye for 2 weeks before a planned silicone oil exchange and penetrating keratoplasty were performed. Four months postoperatively, the patient presented with a partially attached retina and improved vision.

CONCLUSIONS: In this case, a ruptured globe decompensated several months after primary repair. The prolonged use of the TKP allowed for optimal surgical visualization, enhanced office-based assessment, and limited endothelial cell loss of the donor corneal tissue.

Volume

7

Issue

5

First Page

424

Last Page

428

DOI

10.1177/24741264221139079

ISSN

2474-1272

PubMed ID

37706082

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