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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Keratoprosthesis Surgery as an Alternative to Keratoplasty

Department of Ophthalmology, Medical Academy, Lithuanian University of Health Sciences, Lithuania
Lithuanian Energy Institute, Lithuania
Harvard Medical School, Cornea and Refractive Surgery Service, Massachusetts Eye and Ear Infirmary, Boston, USA
Author to whom correspondence should be addressed.
Medicina 2013, 49(6), 46;
Received: 28 November 2012 / Accepted: 30 May 2013 / Published: 4 June 2013
Corneal transplant surgery after chemical or thermal burns has a very low success rate. Vision in these patients can be restored by using an artificial cornea (keratoprosthesis). In this report, we present 5 clinical cases of implanting a fresh corneal graft with Boston type 1 keratoprosthesis in patients with corneas inappropriate for standard corneal transplantation. The mean follow-up was 26.4 months (range, 12 to 36 months; SD, 13.1). The main measures of outcomes were visual acuity and keratoprosthesis stability. At least 1 year after the operation (5 eyes), vision acuity was >0.1 in 100% of the eyes and >0.4 in 50% of the eyes. Retention of the initial keratoprosthesis was 100%. The results of this study seem to be similar to those reported internationally. The anatomical and visual functions of the eyes were stable after keratoprosthesis implantation, though for a longer follow-up period, additional surgical procedures may be required.
Keywords: Boston type 1 keratoprosthesis; artificial cornea; keratoplasty; corneal blindness; glaucoma Boston type 1 keratoprosthesis; artificial cornea; keratoplasty; corneal blindness; glaucoma
MDPI and ACS Style

Jašinskas, V.; Rudalevičius, P.; Miliauskas, A.; Milčius, D.; Jurkūnas, Ū.V. Keratoprosthesis Surgery as an Alternative to Keratoplasty. Medicina 2013, 49, 46.

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