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Strampelli osteo-odonto-keratoprosthesis: case report
C Goossen1, N Stempels, C Colpaert
1Dept. of Ophthalmology, University Hospital Antwerp, Belgium.
Bulletin De La Societe Belge D'Ophtalmologie
|November 12, 1998
Summary
A patient with osteo-odonto-keratoprosthesis experienced severe pain and underwent enucleation of the left eye. Histology revealed retinal detachment and hemorrhage, highlighting potential complications of this keratoprosthesis technique.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Biomaterials in Medicine
Background:
- Osteo-odonto-keratoprosthesis (OOKP) is a complex surgical procedure for severe corneal blindness.
- This case report details a long-term outcome of OOKP implantation in both eyes.
- The patient received OOKP in the left eye in 1968 and the right eye in 1971.
Observation:
- The left eye, without light perception for 20 years, was recently enucleated due to intractable pain.
- The patient's history includes bilateral OOKP implantation, a procedure involving dental tissue.
Findings:
- Histopathological examination of the enucleated left eye revealed evidence of ancient retinal detachment.
- The globe was found to be completely filled with blood, suggesting significant intraocular pathology.
- These findings indicate severe, long-standing complications potentially related to the OOKP or its sequelae.
Implications:
- This case underscores the importance of long-term monitoring for patients with OOKP.
- Understanding the indications and potential complications is crucial for managing patients undergoing this advanced keratoprosthesis procedure.
- The findings prompt a review of the long-term risks and benefits associated with osteo-odonto-keratoprosthesis in managing end-stage corneal disease.