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Related Experiment Videos

Asian experience with the Pintucci keratoprosthesis.

Quresh B Maskati1, B T Maskati

  • 1Maskati Eye Clinic, Mumbai, India. qureshmaskati@gmail.com

Indian Journal of Ophthalmology
|June 14, 2006
PubMed
Summary

The Pintucci Biointegrable Keratoprosthesis (PBIKP) offers improved vision for many bilaterally blind Asian patients unsuitable for traditional corneal transplants. Careful selection is key to its success, with few severe complications reported.

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Area of Science:

  • Ophthalmology
  • Biomaterials Science
  • Regenerative Medicine

Background:

  • Corneal blindness significantly impacts quality of life, especially in Asian populations.
  • Conventional treatments like keratoplasty often fail in complex cases, including chemical burns and severe dry eye.
  • The Pintucci Biointegrable Keratoprosthesis (PBIKP) presents an alternative for patients with otherwise untreatable corneal conditions.

Purpose of the Study:

  • To evaluate the outcomes of the Pintucci Biointegrable Keratoprosthesis (PBIKP) in a cohort of Asian patients.
  • To assess the efficacy and safety of PBIKP implantation for severe corneal blindness.
  • To identify potential complications and success rates associated with PBIKP in a diverse patient group.

Main Methods:

  • A retrospective analysis was conducted on 31 eyes of 31 consecutive patients who received PBIKP implantation.

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  • Patients included those with chemical burns, failed grafts, severe dry eye, and other complex corneal pathologies.
  • Follow-up ranged from 6 months to 7 years, with a mean of 3.2 years, assessing visual outcomes and complications.
  • Main Results:

    • Twenty-four out of 31 eyes (77%) achieved visual improvement beyond finger counting at 1.5 meters, enabling independent function.
    • Four eyes (13%) improved to 20/200 or better visual acuity.
    • No cases of infection or retroprosthetic membrane were observed; 12 eyes experienced complications, but few were vision-threatening.

    Conclusions:

    • The Pintucci Biointegrable Keratoprosthesis (PBIKP) demonstrates potential as a valuable treatment option for bilateral corneal blindness in Asian patients.
    • Careful patient selection is crucial for optimizing outcomes with PBIKP.
    • PBIKP offers a viable solution for individuals unresponsive to conventional medical and surgical interventions for corneal disease.