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Maintaining a watertight globe while operating with a temporary keratoprosthesis.

Jessica S Watson1, Thanh-Thu T Tran, William L Porfilio

  • 1University of North Carolina School of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.

Retina (Philadelphia, Pa.)
|March 12, 2011
PubMed
Summary

The Landers wide-field temporary keratoprosthesis (TKP) effectively creates a watertight seal in porcine eyes, maintaining 100 mmHg intraocular pressure even after vitrectomy. This reusable device offers a clear view for posterior segment surgery.

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Area of Science:

  • Ophthalmology
  • Surgical Devices
  • Biomaterials

Background:

  • Temporary keratoprostheses (TKPs) are crucial for maintaining intraocular pressure during complex anterior segment surgeries.
  • Ensuring a watertight seal is paramount to prevent complications and facilitate procedures like pars plana vitrectomy.

Purpose of the Study:

  • To evaluate the watertight sealing capability of the Landers wide-field temporary keratoprosthesis (TKP).
  • To determine if the TKP maintains a seal at high intraocular pressures (100 mmHg) in porcine eyes.

Main Methods:

  • Porcine eyes underwent trephination and open-sky procedures.
  • A 7.2 mm trunk diameter Landers wide-field TKP was sutured to the corneas.
  • Watertight seal integrity was tested at 100 mmHg, both before and after pars plana vitrectomy.

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Main Results:

  • The Landers TKP achieved a watertight seal at 100 mmHg in all 45 tested eyes.
  • Following pars plana vitrectomy, 41 of 41 eyes maintained 100 mmHg without leakage.

Conclusions:

  • The seal is formed at the flange-cornea interface, not the stroma-trunk interface.
  • The Landers wide-field TKP is a reusable device providing a clear posterior view and a reliable watertight seal.
  • This TKP is suitable for ocular trauma cases with corneal defects up to 0.8 mm larger than the TKP trunk diameter.