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A novel temporary keratoprosthesis technique for vitreoretinal surgery.
Christos Skevas1, Eileen Bigdon1, Alexander Steinhorst1
1Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg 20246, Germany.
International Journal of Ophthalmology
|November 22, 2021
Summary
A sutured soft contact lens effectively served as a temporary keratoprosthesis (TKP) for vitreoretinal surgery in patients with severe corneal opacifications, ensuring excellent visualization and successful outcomes.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Severe corneal opacifications pose challenges for vitreoretinal surgery.
- Standard temporary keratoprosthesis (TKP) options may have limitations.
Purpose of the Study:
- To evaluate the safety and efficacy of using a soft contact lens as a TKP.
- To assess its utility in facilitating vitreoretinal procedures in complex cases.
Main Methods:
- A soft contact lens was sutured onto the globe to create a leak-proof TKP.
- Three patients with combined corneal and vitreoretinal pathology underwent surgery using this method.
Main Results:
- Excellent fundus visualization was achieved in all cases.
- The soft contact lens enabled safe central and peripheral vitrectomy.
- All surgical procedures were successful.
Conclusions:
- A sutured soft contact lens is a viable and effective replacement for traditional TKPs.
- This method offers advantages such as universal fit, low cost, and material accessibility.
