Boston Keratoprosthesis Type 1 in Chemical Burns

Cornea. 2016 Jun;35(6):911-6. doi: 10.1097/ICO.0000000000000837.

Abstract

Purpose: To describe and further analyze the long-term results in visual acuity (VA), anatomical retention, and rate of complications from patients who underwent Boston keratoprosthesis (B-Kpro) type 1 after ocular chemical burns in the Dominican Republic.

Methods: A retrospective review of 42 eyes (22 OD:20 OS) of 36 patients who underwent B-Kpro type 1 implantation after severe ocular burn at Hospital Elías Santana in Santo Domingo, Dominican Republic, between April 2006 and October 2014, were included.

Results: Demographics, VA, anatomical retention, and the rates of postoperative complications and concurrent surgeries were evaluated.

Conclusions: The excellent anatomical retention rates and visual outcomes presented in this study support the remarkable capability of B-Kpro type 1 to restore functional VA in eyes with severe chemical injuries. However, strict control of the postoperative complications is necessary for long-term success. In conclusion, the use of a B-Kpro type 1 after severe chemical burn is a viable option in patients otherwise condemned to the high risk of failure associated with conventional corneal grafts.

Publication types

  • Review

MeSH terms

  • Adult
  • Bioprosthesis*
  • Burns, Chemical / physiopathology
  • Burns, Chemical / surgery*
  • Corneal Diseases / physiopathology
  • Corneal Diseases / surgery*
  • Eye Burns / chemically induced*
  • Female
  • Graft Survival / physiology
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications
  • Prostheses and Implants
  • Prosthesis Implantation*
  • Retrospective Studies
  • Visual Acuity / physiology
  • Young Adult