Evaluation Of The Clinical Outcomes In Patients Underwent A Combined Vitreoretinal Surgery Procedure With Temporary Keratoprosthesis
Published 2023 - 41st Congress of the ESCRS
Reference: PP08.09 | Type: Free paper | DOI: 10.82333/3hrf-7041
Authors: Mehmet Vural* 1 , Gozde Sahin Vural 2 , Eyyup Karahan 2
1Ophthalmology,Balıkesir Ataturk Research Hospital,Balıkesir,Türkiye, 2Balıkesir University,Balıkesir,Türkiye
Purpose
To evaluate the preoperative features and postoperative results of temporary keratoprosthesis (GKP) combined vitreoretinal surgery (VRS) procedures in patients with corneal pathology that may prevent retinal imaging and who require vitreoretinal surgery (VRS).
Setting
Balıkesir University
Retrospective
Methods
The four eyes of four patients who underwent combined VRS and penetrating keratoplasty with Eckardt temporary keratoprosthesis (Eckardt GKP - Dutch ophthalmic research center, D.O.R.C., Zuidland, Netherlands) between January and November 2021 at Balıkesir University Faculty of Medicine Ophthalmology Clinic were evaluated. Age, gender, etiology of corneal pathology, previous surgery, treatments, follow-up period, best-corrected visual acuity (BCVA), intraocular pressure (IOP) before and after surgery, anterior and posterior segment findings were recorded.
Results
The mean age of patients was 53.75 ± 20.56 years. The GKP application after first trauma/surgery was 21.5±26.0months. All patients had corneal opacity prevents retinal imaging, indications for VRS were traumatic retinal detachment (RD) and vitreous hemorrhage (VH)(n=1), traumatic lens drop and VH(n=1), complicated intraocular silicone tamponade(n=1), and tractional RD (n=1). One patient had closed funnel RD and lens drop, one patient had Stage C PVR and tractional RD including the macula, and one patient had a fibrotic band around the optic disc, intraoperatively. The pre&postoperative BCVA were 0.00020±0 and 0.00205±0.00595 (p:0.012), the graft endothelial cells was 2913±322.3 and 2876±285.0 cells/mm2 (p: 0.621).
Conclusions
Temporary keratoprosthesis is a preferable treatment option for patients who require VRS but unable due to corneal opacity. Although visual acuity increases in the postoperative period, visual acuity may remain at low levels due to multiple trauma. In addition, surgery should be performed as soon as possible in order to obtain better visual results in patients who require a combined procedure.