Temporary keratoprostheses in anterior and posterior segment surgery: A narrative review of their history and development

Moshirfar, Majid; Peterson, Christian; Ronquillo, Yasmyne C; Hoopes, Phillip C

doi:10.1016/j.survophthal.2023.01.011

Cited by 3 publications

(1 citation statement)

References 53 publications

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“…Autoimmune diseases, such as rheumatoid arthritis, granulomatosis with polyangiitis (GPA), relapsing polychondritis, SLE, and PsA, are the most commonly associated entities [7,9]. On the other hand, infectious causes are less common and are responsible for 5-10% of cases [10].…”

Section: Discussionmentioning

confidence: 99%

Necrotizing Anterior Scleritis with kertouveitis in a Patient with Psoriasis: A Case Report

See,

Siazon,

Paz

2024

Preprint

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Objective: To present a rare case of necrotizing anterior scleritis with keratouveitis in a patient with psoriasis and to emphasize the importance of early recognition and aggressive systemic therapy to prevent its sequelae. Necrotizing anterior scleritis is a rare and severely debilitating condition in patients with psoriasis. We present the case of a 60-year-old man with a one-week onset of right eye redness, severe eye pain, and tenderness, accompanied by headache, photophobia, and foreign body sensation. The patient had a history of psoriasis for >20 years and was maintained on methotrexate and topical medications, with poor compliance. He was admitted two weeks prior due to COVID-19 infection. Examination of the right eye showed signs of anterior scleritis and kerato-uveitis. Autoimmune and infection screens yielded negative results. He was administered a regimen of topical cyclosporine BID, atropine TID, and oral prednisone at 1 mg/kg/day that was tapered accordingly after clinical response. Follow-up over the course of three weeks revealed decreased eye pain and improved visual acuity from 20/100 to 20/30 in the right eye. This case of necrotizing sclerotic sclerosis occurred in a setting of long-standing psoriasis and psoriatic arthritis with chronic methotrexate use and various environmental triggers. Early recognition and aggressive treatment with systemic and topical immunomodulators are required to prevent the sequelae of this disease.

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Section: Discussionmentioning

confidence: 99%

Necrotizing Anterior Scleritis with kertouveitis in a Patient with Psoriasis: A Case Report

See,

Siazon,

Paz

2024

Preprint

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Temporary Keratoprosthesis and Primary Corneal Graft for Ocular Trauma: A Systematic Review and Meta-Analysis

MCMASTER,

HALLIDAY,

BAPTY

et al. 2024

American Journal of Ophthalmology

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Enhancing Visual Acuity through Combined Intraocular Lens Fixation, Penetrating Keratoplasty, and Vitrectomy: The Role of Temporary Landers Wide-Field Keratoprosthesis

Zusho,

Ono,

Taketani

et al. 2024

Case Rep Ophthalmol

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Introduction: Complex corneal conditions present surgical challenges and necessitate innovation. Here, we present two cases where we performed intraocular lens trans-scleral fixation using the double-needle Yamane technique, followed by penetrating keratoplasty and vitrectomy using a temporary Landers wide-field keratoprosthesis. Case Presentation: Case 1 involved a 70-year-old man with an aphakic eye of bullous keratopathy and corneal opacity owing to multiple penetrating and endothelial keratoplasty, endophthalmitis, and herpetic keratitis. His visual acuity was counting fingers at 20 cm before surgery. Penetrating keratoplasty with vitrectomy and intraocular lens scleral fixation was performed using the double-needle Yamane technique, and 10 months postoperatively, his best-corrected visual acuity improved to 0.6, presenting a clear cornea. Case 2 involved a 62-year-old man who underwent penetrating keratoplasty twice for corneal perforation and therapeutic penetrating keratoplasty with vitrectomy for traumatic globe rupture, resulting in the loss of the intraocular lens. The patient exhibited graft failure, and his best-corrected visual acuity was 0.03. Utilizing a temporary Landers wide-field keratoprosthesis, we performed penetrating keratoplasty and intraocular lens trans-scleral fixation without complications. His final best-corrected visual acuity improved to 0.15 with a clear cornea. Conclusions: Trans-scleral fixation of intraocular lens with penetrating keratoplasty, using temporary Landers wide-field keratoprosthesis, yielded positive clinical outcomes without serious complications.

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Temporary keratoprostheses in anterior and posterior segment surgery: A narrative review of their history and development

Cited by 3 publications

References 53 publications

Necrotizing Anterior Scleritis with kertouveitis in a Patient with Psoriasis: A Case Report

Necrotizing Anterior Scleritis with kertouveitis in a Patient with Psoriasis: A Case Report

Temporary Keratoprosthesis and Primary Corneal Graft for Ocular Trauma: A Systematic Review and Meta-Analysis

Enhancing Visual Acuity through Combined Intraocular Lens Fixation, Penetrating Keratoplasty, and Vitrectomy: The Role of Temporary Landers Wide-Field Keratoprosthesis

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