Boston Type 1 Keratoprosthesis Implantation in Traumatic Stem Cell Deficiency and Keratoplasty Rejection

A 31-year-old male patient was admitted with the complaint of decreased vision in both eyes. He underwent multiple pars plana vitrectomy and silicone oil injection operations due to bilateral retina detachment after rocket projectile explosion in his hands at the age of 15. The right eye was pre-p...

Full description

Bibliographic Details
Main Authors: Canan Aslı Utine, Sinan Tatlıpınar, Muhsin Altunsoy, Vedat Kaya, Esen K. Akpek, Ferda Çiftçi
Format: Article
Language:English
Published: Galenos Yayinevi 2012-01-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://www.oftalmoloji.org/article_2127/Boston-Type-1-Keratoprosthesis-Implantation-In-Traumatic-Stem-Cell-Deficiency-And-Keratoplasty-Rejection
_version_ 1797915237823807488
author Canan Aslı Utine
Sinan Tatlıpınar
Muhsin Altunsoy
Vedat Kaya
Esen K. Akpek
Ferda Çiftçi
author_facet Canan Aslı Utine
Sinan Tatlıpınar
Muhsin Altunsoy
Vedat Kaya
Esen K. Akpek
Ferda Çiftçi
author_sort Canan Aslı Utine
collection DOAJ
description A 31-year-old male patient was admitted with the complaint of decreased vision in both eyes. He underwent multiple pars plana vitrectomy and silicone oil injection operations due to bilateral retina detachment after rocket projectile explosion in his hands at the age of 15. The right eye was pre-phthisical after choroidal hemorrhage that occurred during combined silicone oil extraction and penetrating keratoplasty. The aphakic and vitrectomized left eye had corneal conjunctivalisation of seven dials, deep and superficial stromal neovascularization and history of immunological graft rejection. As the estimated success rate for repeat penetrating keratoplasty was low, Boston type 1 keratoprosthesis surgery was performed. Postoperatively, visual acuity was 0.2 Snellen lines. Macular scar and optic nerve atrophy limited further visual gain. In this study, we aimed to review the current literature about Boston type keratoprosthesis surgery, which should be evaluated as an alternative when conventional penetrating keratoplasty success is deemed to be low. (Turk J Ophthalmol 2012; 42: 66-71)
first_indexed 2024-04-10T12:38:29Z
format Article
id doaj.art-7422365d74d04e22b715314e88c87c7a
institution Directory Open Access Journal
issn 1300-0659
2147-2661
language English
last_indexed 2024-04-10T12:38:29Z
publishDate 2012-01-01
publisher Galenos Yayinevi
record_format Article
series Türk Oftalmoloji Dergisi
spelling doaj.art-7422365d74d04e22b715314e88c87c7a2023-02-15T16:14:26ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612012-01-01421667110.4274/tjo.42.28291Boston Type 1 Keratoprosthesis Implantation in Traumatic Stem Cell Deficiency and Keratoplasty RejectionCanan Aslı Utine0Sinan Tatlıpınar1Muhsin Altunsoy2Vedat Kaya3Esen K. Akpek4Ferda Çiftçi5Yeditepe Üniversitesi Göz Hastalıkları Anabilim Dalı, İstanbul, TürkiyeYeditepe Üniversitesi Göz Hastalıkları Anabilim Dalı, İstanbul, TürkiyeYeditepe Üniversitesi Göz Hastalıkları Anabilim Dalı, İstanbul, TürkiyeBeyoğlu Göz Eğitim ve Araştırma Hastanesi, İstanbul, TürkiyeKornea ve Eksternal Hastalıklar Bölümü, Wilmer Göz Enstitüsü, Johns Hopkins Üniversitesi Tıp Fakültesi, Baltimore, Maryland, USAYeditepe Üniversitesi Göz Hastalıkları Anabilim Dalı, İstanbul, TürkiyeA 31-year-old male patient was admitted with the complaint of decreased vision in both eyes. He underwent multiple pars plana vitrectomy and silicone oil injection operations due to bilateral retina detachment after rocket projectile explosion in his hands at the age of 15. The right eye was pre-phthisical after choroidal hemorrhage that occurred during combined silicone oil extraction and penetrating keratoplasty. The aphakic and vitrectomized left eye had corneal conjunctivalisation of seven dials, deep and superficial stromal neovascularization and history of immunological graft rejection. As the estimated success rate for repeat penetrating keratoplasty was low, Boston type 1 keratoprosthesis surgery was performed. Postoperatively, visual acuity was 0.2 Snellen lines. Macular scar and optic nerve atrophy limited further visual gain. In this study, we aimed to review the current literature about Boston type keratoprosthesis surgery, which should be evaluated as an alternative when conventional penetrating keratoplasty success is deemed to be low. (Turk J Ophthalmol 2012; 42: 66-71)http://www.oftalmoloji.org/article_2127/Boston-Type-1-Keratoprosthesis-Implantation-In-Traumatic-Stem-Cell-Deficiency-And-Keratoplasty-RejectionBoston type 1 keratoprosthesiscorneal rejectionstem cell deficiency
spellingShingle Canan Aslı Utine
Sinan Tatlıpınar
Muhsin Altunsoy
Vedat Kaya
Esen K. Akpek
Ferda Çiftçi
Boston Type 1 Keratoprosthesis Implantation in Traumatic Stem Cell Deficiency and Keratoplasty Rejection
Türk Oftalmoloji Dergisi
Boston type 1 keratoprosthesis
corneal rejection
stem cell deficiency
title Boston Type 1 Keratoprosthesis Implantation in Traumatic Stem Cell Deficiency and Keratoplasty Rejection
title_full Boston Type 1 Keratoprosthesis Implantation in Traumatic Stem Cell Deficiency and Keratoplasty Rejection
title_fullStr Boston Type 1 Keratoprosthesis Implantation in Traumatic Stem Cell Deficiency and Keratoplasty Rejection
title_full_unstemmed Boston Type 1 Keratoprosthesis Implantation in Traumatic Stem Cell Deficiency and Keratoplasty Rejection
title_short Boston Type 1 Keratoprosthesis Implantation in Traumatic Stem Cell Deficiency and Keratoplasty Rejection
title_sort boston type 1 keratoprosthesis implantation in traumatic stem cell deficiency and keratoplasty rejection
topic Boston type 1 keratoprosthesis
corneal rejection
stem cell deficiency
url http://www.oftalmoloji.org/article_2127/Boston-Type-1-Keratoprosthesis-Implantation-In-Traumatic-Stem-Cell-Deficiency-And-Keratoplasty-Rejection
work_keys_str_mv AT cananaslıutine bostontype1keratoprosthesisimplantationintraumaticstemcelldeficiencyandkeratoplastyrejection
AT sinantatlıpınar bostontype1keratoprosthesisimplantationintraumaticstemcelldeficiencyandkeratoplastyrejection
AT muhsinaltunsoy bostontype1keratoprosthesisimplantationintraumaticstemcelldeficiencyandkeratoplastyrejection
AT vedatkaya bostontype1keratoprosthesisimplantationintraumaticstemcelldeficiencyandkeratoplastyrejection
AT esenkakpek bostontype1keratoprosthesisimplantationintraumaticstemcelldeficiencyandkeratoplastyrejection
AT ferdaciftci bostontype1keratoprosthesisimplantationintraumaticstemcelldeficiencyandkeratoplastyrejection