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Modified osteo-odonto-keratoprosthesis is a lifeline for end stage corneal blindness

Poster Details

First Author: S.Nankani INDIA

Co Author(s):                  

Abstract Details


The Modified Osteo Odonto Keratoprosthesis (MOOKP) provides the best form of rehabilation for eyes with end stage Ocular surface disease in terms of vision, stability and longivity


Bombay Hospital and Medical Research Centre, Mumbai, India


10 patients in the age group of 16-56 years underwent MOOKP between January 2008 to January 2010. The indications were steven johnson syndrome, Multiple failed penetrating grafts, trauma, chemical burns and Corneal decompensation with silicone oil .After a thorough Pre operative assesment, the surgery was conducted over a period of 3 months. Stages I A- mucous membrane grafting. I B - preparation of osteo dental acrylic lamina ( ODAL). Stage IIA- preparation of implant. Stage IIB- implantation of ODAL onto the corneal opening. Post op management, 3 months follow up, visual acuity, visual fields, IOP, refraction, Optic disc evaluation and 3 D CT scan at 2 years were done


3 eyes were lost at 15, 21 and 33 months due to mucosal melts, retinal detachment and ODAL extrusion. 1 eye was abandoned after stage I. 6 eyes mantained vision till date. BCVA achieved was 20/30, N6 and worst achieved was hand movements. Most common complication were mucous membrane thinning, vitritis and retinal detachment. 3D CT Scan was done at 24 months in 5 patients. 1 patient showed severe bone resorption


MOOKP has given stable vision in 50% of the patients for about 4 years. The quality of vision was found t o be satisfactory

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