Retinal Detachment Repair in an Eye with a Permanent Keratoprosthesis and Glaucoma Drainage Tube

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Prithvi Mruthyunjaya, MD, MHS, repairs a retinal detachment in an 82-year-old monocular patient with a history of Stephens-Johnson disease and an aphakic type 1 Boston keratoprosthesis.

Posted: 8/22/2017

Retinal Detachment Repair in an Eye with a Permanent Keratoprosthesis and Glaucoma Drainage Tube

Prithvi Mruthyunjaya, MD, MHS, repairs a retinal detachment in an 82-year-old monocular patient with a history of Stephens-Johnson disease and an aphakic type 1 Boston keratoprosthesis.

Posted: 8/22/2017

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Comments

Barbara Parolini

7 years ago

Why did you choose to go for posterior wide retinotomy? the risk of postop hypotony is high. It seems you were successful in removing PVR although inducing retinal breaks. the retinal looked mobile. The other choice would have been to flatten the retina with PFCL and than inject silicone oil. Waiting for new possible PVR to peel but in the end saving more peripheral retina. Was it due to the fact that the patient had been obviously operated many other times? Also did you close the tube because it would have drained silicone and favor more hypotony? these are very difficult cases to manage and it is extremely important to share. thank you!! Barbara Parolini, Italy

Shawn Kavoussi

7 years ago

Beautifully done.

Adeel Khan

7 years ago

Excellent case. Thank you for sharing!