Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt
Corneal melt is a sight-threatening complication of Boston type 1 keratoprosthesis (KPro). Severe corneal melt may result in hypotony, choroidal hemorrhage, and even spontaneous extrusion of the KPro, which may lead to a poor visual prognosis. Lamellar keratoplasty is one surgical option for the man...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=7;spage=2892;epage=2896;aulast=Zeng |
| _version_ | 1797738745254903808 |
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| author | Liangbo Zeng Miao Chen Lixia Lin Jiajie Zhai Jiaqi Chen Jianjun Gu |
| author_facet | Liangbo Zeng Miao Chen Lixia Lin Jiajie Zhai Jiaqi Chen Jianjun Gu |
| author_sort | Liangbo Zeng |
| collection | DOAJ |
| description | Corneal melt is a sight-threatening complication of Boston type 1 keratoprosthesis (KPro). Severe corneal melt may result in hypotony, choroidal hemorrhage, and even spontaneous extrusion of the KPro, which may lead to a poor visual prognosis. Lamellar keratoplasty is one surgical option for the management of mild corneal melt, especially when a new KPro is not available. Herein, we present a new surgical technique application, intra-operative optical coherence tomography (iOCT) for the management of cornea graft melt after Boston type 1 KPro implantation. The visual acuity and the intra-ocular maintained stable at 6 months post-operatively, and the KPro remained in place without corneal melting, epithelial ingrowth, or infection. iOCT may prove to be a real-time, non-invasive, and accurate treatment for corneal lamellar dissection and suturing beneath the anterior plate of the KPro, which can effectively help the surgeon to make surgical decisions and reduce post-operative complications. |
| first_indexed | 2024-03-12T13:47:22Z |
| format | Article |
| id | doaj.art-a9c3808ff458494180db8b01c44aef6c |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-03-12T13:47:22Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-a9c3808ff458494180db8b01c44aef6c2023-08-23T08:23:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017172892289610.4103/IJO.IJO_76_23Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal meltLiangbo ZengMiao ChenLixia LinJiajie ZhaiJiaqi ChenJianjun GuCorneal melt is a sight-threatening complication of Boston type 1 keratoprosthesis (KPro). Severe corneal melt may result in hypotony, choroidal hemorrhage, and even spontaneous extrusion of the KPro, which may lead to a poor visual prognosis. Lamellar keratoplasty is one surgical option for the management of mild corneal melt, especially when a new KPro is not available. Herein, we present a new surgical technique application, intra-operative optical coherence tomography (iOCT) for the management of cornea graft melt after Boston type 1 KPro implantation. The visual acuity and the intra-ocular maintained stable at 6 months post-operatively, and the KPro remained in place without corneal melting, epithelial ingrowth, or infection. iOCT may prove to be a real-time, non-invasive, and accurate treatment for corneal lamellar dissection and suturing beneath the anterior plate of the KPro, which can effectively help the surgeon to make surgical decisions and reduce post-operative complications.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=7;spage=2892;epage=2896;aulast=Zenganterior lamellar keratoplastycorneal meltintra-operative optical coherence tomographykeratoprosthesistight apposition |
| spellingShingle | Liangbo Zeng Miao Chen Lixia Lin Jiajie Zhai Jiaqi Chen Jianjun Gu Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt Indian Journal of Ophthalmology anterior lamellar keratoplasty corneal melt intra-operative optical coherence tomography keratoprosthesis tight apposition |
| title | Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt |
| title_full | Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt |
| title_fullStr | Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt |
| title_full_unstemmed | Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt |
| title_short | Intra-operative optical coherence tomography in corneal lamellar graft reinforcement for Boston type I keratoprosthesis corneal melt |
| title_sort | intra operative optical coherence tomography in corneal lamellar graft reinforcement for boston type i keratoprosthesis corneal melt |
| topic | anterior lamellar keratoplasty corneal melt intra-operative optical coherence tomography keratoprosthesis tight apposition |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=7;spage=2892;epage=2896;aulast=Zeng |
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