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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 mdpi.com 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

1
Department of Ophthalmology, Medical Academy, Lithuanian University of Health Sciences, Lithuania
2
Lithuanian Energy Institute, Lithuania
3
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; https://doi.org/10.3390/medicina49060046
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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