20-Gauge Vitrectomy Under Temporary Keratoprosthesis for Shattered Globe Reconstruction

Show Description +

A ruptured globe with central corneal laceration and vitreous hemorrhage presents a surgical challenge. When managing such complex trauma cases in which the cornea does not allow a good view of posterior segment, surgeons should consider vitrectomy under a temporary keratoprosthesis. Temporary keratoprosthesis is placed by the cornea team and replaced by a permanent donor cornea after the retina team has restored the posterior segment anatomy. The technique allows excellent visualization of the posterior segment during vitrectomy in cases of traumatic corneal damage.

Posted: 7/18/2014

Keywords:

Cornea

Corneal Transplant

20-Gauge Vitrectomy Under Temporary Keratoprosthesis for Shattered Globe Reconstruction

A ruptured globe with central corneal laceration and vitreous hemorrhage presents a surgical challenge. When managing such complex trauma cases in which the cornea does not allow a good view of posterior segment, surgeons should consider vitrectomy under a temporary keratoprosthesis. Temporary keratoprosthesis is placed by the cornea team and replaced by a permanent donor cornea after the retina team has restored the posterior segment anatomy. The technique allows excellent visualization of the posterior segment during vitrectomy in cases of traumatic corneal damage.

Posted: 7/18/2014

Keywords:

Cornea

Corneal Transplant

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Comments

Enrique Calderon

9 years ago

I love the music. Who is playing the piano?

Shlomit Schaal

11 years ago

Thank you for youe comment. Boston Keratoprosthesis type 1 was used in this case.

Shlomit Schaal

11 years ago

Sorry - the previous response was for the permanent K-Pros we generally use, however in this case we used a corneal transplant at the end. I apologize for the confusion. For temporary KPros we use Ekhardt's non-flexible PMMA temporary KPro. In this case we used the 2.5 mm KPro which is designated for aphakic eyes. Please take a look also at the website below for further info: http://www.dorc.eu/products.php?group=18143,18144,18229,18235&view=group

Sriharanathan Poopalaratnam

11 years ago

Hi Wonderful video What is the keratoprosthesis you have used? Thanks

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