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Keratoprosthesis: Current Choices and Future Development

Keratoprosthesis: Current Choices and Future Development Downloaded from http://journals.lww.com/apjoo by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/04/2020 PERSPECTIVES Mehran Zarei-Ghanavati, MD, FICO and Christopher Liu, FRCOphth, FRCSEdyz§ vision which may be proven temporary. Therefore, formal psy- Abstract: Keratoprosthesis (KPro) is the last resort for corneal blindness. chological assessment is crucial to evaluate a prospective Boston KPro I and osteo-odonto-keratoprosthesis (OOKP) have the most patient’s resilience. Influence of patients’ socioeconomic situa- favorable outcomes for their respective indications. Recently, better tion and family support should be meticulously considered. outcomes have been achieved for these 2 devices mainly because of KPro is indicated for bilateral corneal blindness or for improvements in postoperative care and modifications in complication one eye only. There are some instances of bilateral implanta- management through years of experience and research. Unfortunately, tion or unilateral implantation in a patient with acceptable some patients cannot benefit from these KPros due to lack of access to vision in the other eye. There is evidence against this practice. devices, trained surgeons, or both. Boston KPro I is heading toward a All KPros including OOKP have inherent instability and the more affordable variation particularly for patients in developing coun- risk of long-term complications is high, which needs subse- tries. In addition, more patients http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Asia-Pacific Journal of Ophthalmology Wolters Kluwer Health

Keratoprosthesis: Current Choices and Future Development

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Publisher
Wolters Kluwer Health
ISSN
2162-0989
eISSN
2475-5028
DOI
10.1097/APO.0000000000000268
Publisher site
See Article on Publisher Site

Abstract

Downloaded from http://journals.lww.com/apjoo by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/04/2020 PERSPECTIVES Mehran Zarei-Ghanavati, MD, FICO and Christopher Liu, FRCOphth, FRCSEdyz§ vision which may be proven temporary. Therefore, formal psy- Abstract: Keratoprosthesis (KPro) is the last resort for corneal blindness. chological assessment is crucial to evaluate a prospective Boston KPro I and osteo-odonto-keratoprosthesis (OOKP) have the most patient’s resilience. Influence of patients’ socioeconomic situa- favorable outcomes for their respective indications. Recently, better tion and family support should be meticulously considered. outcomes have been achieved for these 2 devices mainly because of KPro is indicated for bilateral corneal blindness or for improvements in postoperative care and modifications in complication one eye only. There are some instances of bilateral implanta- management through years of experience and research. Unfortunately, tion or unilateral implantation in a patient with acceptable some patients cannot benefit from these KPros due to lack of access to vision in the other eye. There is evidence against this practice. devices, trained surgeons, or both. Boston KPro I is heading toward a All KPros including OOKP have inherent instability and the more affordable variation particularly for patients in developing coun- risk of long-term complications is high, which needs subse- tries. In addition, more patients

Journal

The Asia-Pacific Journal of OphthalmologyWolters Kluwer Health

Published: Nov 1, 2019

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