Results with the Boston Type I keratoprosthesis after Acanthamoeba keratitis

Purpose: To report the outcomes of implantation of the Boston Type I keratoprosthesis in three patients with Acanthamoeba keratitis (AK), a severe infection that can lead to significant visual loss. Observations: Case series reporting three patients with difficult cases of AK that needed multiple co...

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Main Authors: Albert Santos, Luzia Diegues Silva, Luciene Barbosa de Sousa, Denise de Freitas, Lauro Augusto de Oliveira
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993616302249
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author Albert Santos
Luzia Diegues Silva
Luciene Barbosa de Sousa
Denise de Freitas
Lauro Augusto de Oliveira
author_facet Albert Santos
Luzia Diegues Silva
Luciene Barbosa de Sousa
Denise de Freitas
Lauro Augusto de Oliveira
author_sort Albert Santos
collection DOAJ
description Purpose: To report the outcomes of implantation of the Boston Type I keratoprosthesis in three patients with Acanthamoeba keratitis (AK), a severe infection that can lead to significant visual loss. Observations: Case series reporting three patients with difficult cases of AK that needed multiple corneal transplantations and glaucoma surgeries. All patients were implanted with the Boston Type I keratoprosthesis device. The main outcomes measure were the visual function and anatomical retention after implantation of the Boston Type I keratoprosthesis. All patients retained the device over the long-term and had good visual function. In one patient a retroprosthetic membrane developed and in another patient an epithelial lip developed over the anterior surface of the keratoprosthesis. The visual acuities range from 20/25 to 20/80 in the implanted eyes. Conclusions and importance: The Boston Type I keratoprosthesis resulted in good anatomic and functional results after multiple graft failures after AK.
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spelling doaj.art-82dfcf4b127c4bcb95207b9384d38db82022-12-22T01:48:14ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362017-06-016C717310.1016/j.ajoc.2017.01.007Results with the Boston Type I keratoprosthesis after Acanthamoeba keratitisAlbert SantosLuzia Diegues SilvaLuciene Barbosa de SousaDenise de FreitasLauro Augusto de OliveiraPurpose: To report the outcomes of implantation of the Boston Type I keratoprosthesis in three patients with Acanthamoeba keratitis (AK), a severe infection that can lead to significant visual loss. Observations: Case series reporting three patients with difficult cases of AK that needed multiple corneal transplantations and glaucoma surgeries. All patients were implanted with the Boston Type I keratoprosthesis device. The main outcomes measure were the visual function and anatomical retention after implantation of the Boston Type I keratoprosthesis. All patients retained the device over the long-term and had good visual function. In one patient a retroprosthetic membrane developed and in another patient an epithelial lip developed over the anterior surface of the keratoprosthesis. The visual acuities range from 20/25 to 20/80 in the implanted eyes. Conclusions and importance: The Boston Type I keratoprosthesis resulted in good anatomic and functional results after multiple graft failures after AK.http://www.sciencedirect.com/science/article/pii/S2451993616302249Acanthamoeba keratitisBoston Type I keratoprosthesisGlaucomaCorneal transplant
spellingShingle Albert Santos
Luzia Diegues Silva
Luciene Barbosa de Sousa
Denise de Freitas
Lauro Augusto de Oliveira
Results with the Boston Type I keratoprosthesis after Acanthamoeba keratitis
American Journal of Ophthalmology Case Reports
Acanthamoeba keratitis
Boston Type I keratoprosthesis
Glaucoma
Corneal transplant
title Results with the Boston Type I keratoprosthesis after Acanthamoeba keratitis
title_full Results with the Boston Type I keratoprosthesis after Acanthamoeba keratitis
title_fullStr Results with the Boston Type I keratoprosthesis after Acanthamoeba keratitis
title_full_unstemmed Results with the Boston Type I keratoprosthesis after Acanthamoeba keratitis
title_short Results with the Boston Type I keratoprosthesis after Acanthamoeba keratitis
title_sort results with the boston type i keratoprosthesis after acanthamoeba keratitis
topic Acanthamoeba keratitis
Boston Type I keratoprosthesis
Glaucoma
Corneal transplant
url http://www.sciencedirect.com/science/article/pii/S2451993616302249
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