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Two years follow-up of KeraKlear keratoprosthesis

Poster Details

First Author: A.Abdelghany EGYPT

Co Author(s):    J. Alio                    

Abstract Details

Purpose:

To report the 2 years follow up of KeraKlear keratoprosthesis implanted without total corneal trephination.

Setting:

Vissum Corporación Alicante, Universidad Miguel Hernández, Alicante, Spain.

Methods:

Patients were considered for implantation with the new keratoprosthesis model (KeraKlear) if they were at high risk of failure with standard PK, or showed conditions with a poor prognosis following PK such as severe chemical injury. We used FS laser to create the surgical planes adequate for the purpose of the Kpro implantation, 15 eyes were implanted with the KeraKlear keratoprosthesis either onto the deep stroma or over the Descemets membrane, and the Kpro was implanted intralamellar in 11 eyes and epidescemetical in 4 eyes. Follow up mainly for anatomical outcomes and complications

Results:

For the intralamellar technique; the anatomical outcome was excellent in 5 eyes with no complications. The other 6 eyes developed complications such as deep corneal inflammatory membrane, totally vascularized cornea, extrusion of the Kpro and corneal melting all of which were managed successfully. No eye was lost.

Conclusions:

The new KeraKlear Kpro has proved to be a viable alternative to corneal transplantation with potential advantages like decreased risk of endophthalmitis, expulsive hemorrhage and worsening glaucoma. KeraKlear Kpro is better tolerated and less prone to complications when implanted epidescemetically

Financial Disclosure:

NONE

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