Skip to main content
SpringerLink
Log in
Book cover

Management of Complicated Vitreoretinal Diseases pp 181–188Cite as

Vitreoretinal Considerations in the Setting of the Permanent Keratoprosthesis

  • Chapter

  • 628 Accesses

Abstract

Keratoprosthesis design, surgery, and clinical management have undergone tremendous advancement over the past century [1]. Its modern-day use represents an important treatment for corneal blindness in conditions not amenable to traditional penetrating keratoplasty (PKP) [2]. While actual keratoprosthesis placement is traditionally done by a cornea specialist, the vitreoretinal specialist plays an important role in the preoperative, intraoperative, and postoperative management of keratoprosthesis patients [3, 4]. Although many types of keratoprostheses, or KPros, are in modern-day use worldwide, including the osteo-odonto-keratprosthesis (OOKP) [5], this chapter will focus on the Boston keratoprosthesis [6], one of the most widely used KPros in the world.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Liu C, Hille K, Tan D, Hicks C, Herold J. Keratoprosthesis surgery. Dev Ophthalmol. 2008;41:171–86.

    Article  PubMed  Google Scholar 

  2. Klufas MA, Colby KA. The Boston keratoprosthesis. Int Ophthalmol Clin. 2010;50(3):161–75.

    Article  PubMed  Google Scholar 

  3. Ray S, Khan BF, Dohlman CH, D’Amico DJ. Management of vitreoretinal complications in eyes with permanent keratoprosthesis. Arch Ophthalmol. 2002;120(5):559–66.

    Article  PubMed  Google Scholar 

  4. Kiang L, Sippel KC, Starr CE, et al. Vitreoretinal surgery in the setting of permanent keratoprosthesis. Arch Ophthalmol. 2012;130(4):487–92.

    Article  PubMed  Google Scholar 

  5. Liu C, Paul B, Tandon R, et al. The osteo-odonto-keratoprosthesis (OOKP). Semin Ophthalmol. 2005;20(2):113–28.

    Article  PubMed  Google Scholar 

  6. Traish AS, Chodosh J. Expanding application of the Boston type I keratoprosthesis due to advances in design and improved post-operative therapeutic strategies. Semin Ophthalmol. 2010;25(5-6):239–43.

    Article  PubMed  Google Scholar 

  7. Dohlman CH, Doane MG. Some factors influencing outcome after keratoprosthesis surgery. Cornea. 1994;13(3):214–8.

    Article  CAS  PubMed  Google Scholar 

  8. Dohlman CH, Harissi-Dagher M, Khan BF, Sippel K, Aquavella JV, Graney JM. Introduction to the use of the Boston keratoprosthesis. Expert Rev Ophthalmol. 2006;1(1):41–8.

    Article  Google Scholar 

  9. Harissi-Dagher M, Durr GM, Biernacki K, Sebag M, Rheaume MA. Pars plana vitrectomy through the Boston keratoprosthesis type 1. Eye (Lond). 2013;27(6):767–9.

    Article  CAS  Google Scholar 

  10. Georgalas I, Kanelopoulos AJ, Petrou P, Ladas I, Gotzaridis E. Presumed endophthalmitis following Boston keratoprosthesis treated with 25 gauge vitrectomy: a report of three cases. Graefes Arch Clin Exp Ophthalmol. 2010;248(3):447–50.

    Article  PubMed  Google Scholar 

  11. Dohlman C, Harissi-Dagher M. The Boston keratoprosthesis: a new threadless design. Digit J Opthalmol. 2007;13(3).

    Google Scholar 

  12. Sayegh RR, Dohlman CH. Wide-angle fundus imaging through the Boston keratoprosthesis. Retina. 2013;33(6):1188–92.

    Article  PubMed  Google Scholar 

  13. Goldman DR, Hubschman JP, Aldave AJ, et al. Postoperative posterior segment complications in eyes treated with the Boston type I keratoprosthesis. Retina. 2013;33(3):532–41.

    Article  PubMed  Google Scholar 

  14. Robert MC, Biernacki K, Harissi-Dagher M. Boston keratoprosthesis type 1 surgery: use of frozen versus fresh corneal donor carriers. Cornea. 2012;31(4):339–45.

    Article  PubMed  Google Scholar 

  15. Robert MC, Harissi-Dagher M. Boston type 1 keratoprosthesis: the CHUM experience. Can J Ophthalmol. 2011;46(2):164–8.

    Article  PubMed  Google Scholar 

  16. Kamyar R, Weizer JS, de Paula FH, et al. Glaucoma associated with Boston type I keratoprosthesis. Cornea. 2012;31(2):134–9.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Greiner MA, Li JY, Mannis MJ. Longer-term vision outcomes and complications with the Boston type 1 keratoprosthesis at the University of California, Davis. Ophthalmology. 2011;118(8):1543–50.

    Article  PubMed  Google Scholar 

  18. Chew HF, Ayres BD, Hammersmith KM, et al. Boston keratoprosthesis outcomes and complications. Cornea. 2009;28(9):989–96.

    Article  PubMed  Google Scholar 

  19. Aquavella JV, Qian Y, McCormick GJ, Palakuru JR. Keratoprosthesis: current techniques. Cornea. 2006;25(6):656–62.

    Article  PubMed  Google Scholar 

  20. Rudnisky CJ, Belin MW, Todani A, et al. Risk factors for the development of retroprosthetic membranes with Boston keratoprosthesis type 1: multicenter study results. Ophthalmology. 2012;119:951.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Aldave AJ, Kamal KM, Vo RC, Yu F. The Boston type I keratoprosthesis: improving outcomes and expanding indications. Ophthalmology. 2009;116(4):640–51.

    Article  PubMed  Google Scholar 

  22. Patel AP, Wu EI, Ritterband DC, Seedor JA. Boston type 1 keratoprosthesis: the New York eye and ear experience. Eye (Lond). 2012;26(3):418–25.

    Article  CAS  Google Scholar 

  23. Chak G, Aquavella JV. A safe Nd:YAG retroprosthetic membrane removal technique for keratoprosthesis. Cornea. 2010;29(10):1169–72.

    Article  PubMed  Google Scholar 

  24. Stacy RC, Jakobiec FA, Michaud NA, Dohlman CH, Colby KA. Characterization of retrokeratoprosthetic membranes in the Boston type 1 keratoprosthesis. Arch Ophthalmol. 2011;129(3):310–6.

    Article  PubMed  Google Scholar 

  25. Huang Y, Yu J, Liu L, Du G, Song J, Guo H. Moscow eye microsurgery complex in Russia keratoprosthesis in Beijing. Ophthalmology. 2011;118(1):41–6.

    Article  PubMed  Google Scholar 

  26. Ciolino JB, Belin MW, Todani A, Al-Arfaj K, Rudnisky CJ. Retention of the Boston keratoprosthesis type 1: multicenter study results. Ophthalmology. 2013;120(6):1195–200.

    Article  PubMed Central  PubMed  Google Scholar 

  27. Dokey A, Ramulu PY, Utine CA, et al. Chronic hypotony associated with the Boston type 1 keratoprosthesis. Am J Ophthalmol. 2012;154(2):266–71 e261.

    Article  PubMed  Google Scholar 

  28. Nouri M, Terada H, Alfonso EC, Foster CS, Durand ML, Dohlman CH. Endophthalmitis after keratoprosthesis: incidence, bacterial causes, and risk factors. Arch Ophthalmol. 2001;119(4):484–9.

    Article  CAS  PubMed  Google Scholar 

  29. Durand ML, Dohlman CH. Successful prevention of bacterial endophthalmitis in eyes with the Boston keratoprosthesis. Cornea. 2009;28(8):896–901.

    Article  PubMed  Google Scholar 

  30. Chan CC, Holland EJ. Infectious endophthalmitis after Boston type 1 keratoprosthesis implantation. Cornea. 2012;31(4):346–9.

    Article  PubMed  Google Scholar 

  31. Ramchandran RS, Diloreto Jr DA, Chung MM, et al. Infectious endophthalmitis in adult eyes receiving Boston type I keratoprosthesis. Ophthalmology. 2012;119(4):674–81.

    Article  PubMed  Google Scholar 

  32. Rai R, Shorter E, Cortina MS, McMahon T, de la Cruz J. Contact lens surveillance cultures in Boston type 1 keratoprosthesis patients. Eye Contact Lens. 2013;39(2):175–8.

    Article  PubMed  Google Scholar 

  33. Barnes SD, Dohlman CH, Durand ML. Fungal colonization and infection in Boston keratoprosthesis. Cornea. 2007;26(1):9–15.

    Article  PubMed  Google Scholar 

  34. Aldave AJ, Sangwan VS, Basu S, et al. International results with the Boston type I keratoprosthesis. Ophthalmology. 2012;119(8):1530–8.

    Article  PubMed  Google Scholar 

  35. Robert MC, Moussally K, Harissi-Dagher M. Review of endophthalmitis following Boston keratoprosthesis type 1. Br J Ophthalmol. 2012;96(6):776–80.

    Article  PubMed  Google Scholar 

  36. Sayegh RR, Ang LP, Foster CS, Dohlman CH. The Boston keratoprosthesis in Stevens-Johnson syndrome. Am J Ophthalmol. 2008;145(3):438–44.

    Article  PubMed  Google Scholar 

  37. Netland PA, Terada H, Dohlman CH. Glaucoma associated with keratoprosthesis. Ophthalmology. 1998;105(4):751–7.

    Article  CAS  PubMed  Google Scholar 

  38. Bradley JC, Hernandez EG, Schwab IR, Mannis MJ. Boston type 1 keratoprosthesis: the University of California Davis experience. Cornea. 2009;28(3):321–7.

    Article  PubMed  Google Scholar 

  39. Iyer G, Pillai VS, Srinivasan B, et al. Modified osteo-odonto keratoprosthesis – the Indian experience – results of the first 50 cases. Cornea. 2010;29(7):771–6.

    PubMed  Google Scholar 

  40. Nouri M, Durand ML, Dohlman CH. Sudden reversible vitritis after keratoprosthesis: an immune phenomenon? Cornea. 2005;24(8):915–9.

    Article  PubMed  Google Scholar 

  41. Huang Y, Dong Y, Wang L, et al. Long-term outcomes of MICOF keratoprosthesis in the end stage of autoimmune dry eyes: an experience in China. Br J Ophthalmol. 2012;96(1):28–33.

    Article  PubMed  Google Scholar 

  42. Yu J, Huang Y, Song J, Wang L, Wang F. Keratoprosthesis sterile vitritis. Ophthalmology. 2011;118(1):221.

    Article  PubMed  Google Scholar 

  43. Dunlap K, Chak G, Aquavella JV, Myrowitz E, Utine CA, Akpek E. Short-term visual outcomes of Boston type 1 keratoprosthesis implantation. Ophthalmology. 2010;117(4):687–92.

    Article  PubMed  Google Scholar 

  44. Zerbe BL, Belin MW, Ciolino JB. Results from the multicenter Boston type 1 keratoprosthesis study. Ophthalmology. 2006;113(10):1779 e1771–7.

    Article  Google Scholar 

  45. Khan BF, Harissi-Dagher M, Khan DM, Dohlman CH. Advances in Boston keratoprosthesis: enhancing retention and prevention of infection and inflammation. Int Ophthalmol Clin. 2007;47(2):61–71.

    Article  PubMed  Google Scholar 

  46. D’Amico DJ. New methods for retinal examination in eyes with a Boston keratoprosthesis. Retina. 2013;33(6):1097–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Weill Cornell Medical College/NewYork Presbyterian Hospital, New York, NY, 10021, USA

    Michael A. Klufas MD, Donald J. D’Amico MD & Szilárd Kiss MD

Authors
  1. Michael A. Klufas MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Donald J. D’Amico MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Szilárd Kiss MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Szilárd Kiss MD .

Editor information

Editors and Affiliations

  1. Department of Ophthalmology, University of Milan, San Paolo Hospital, Milano, Italy

    Fabio Patelli

  2. Department of Ophthalmology, Azienda Ospedaliero, Universitaria Careggi, Florence, Italy

    Stanislao Rizzo

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Klufas, M.A., D’Amico, D.J., Kiss, S. (2015). Vitreoretinal Considerations in the Setting of the Permanent Keratoprosthesis. In: Patelli, F., Rizzo, S. (eds) Management of Complicated Vitreoretinal Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-17208-8_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-17208-8_12

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17207-1

  • Online ISBN: 978-3-319-17208-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation