Retinal Detachment Prevention In Opaque-Oornea Eyes Receiving A Permanent Keratoprosthesis.
Placement of a permanent keratoprosthesis (KPro), as a solution to otherwise untreatable corneal blindness, is becoming increasingly commonplace.1,2 But approximately 20% of KPro eyes suffer either rhegmatogenous, tractional or combined retinal detachment within seven years postoperatively.2 The dominant KPro model (Boston type 1 KPro)3 provides only a 3mm diameter optical stem, so that the retinal periphery remains largely obscured to clinical examination postoperatively. Partially as a consequence, repair of retinal detachment in KPro eyes is successful in less than 50% of cases, with most such eyes losing even ambulatory vision.4 This can be especially important because the fellow eye of most KPro patients, if it is even present, is also severely diseased.
Rooney D. Retinal detachment prevention in opaque-cornea eyes receiving a permanent keratoprosthesis. American Society of Cataract and Refractive Surgery (ASCRS), Los Angeles, CA, May 5-9, 2017.