Abstract
Objectives: The aim was to discuss the use of a conjunctival flap for treatment of keratolysis of a keratoprosthesis (Kpro) donor graft in a patient fitted with a cosmetic contact lens. Methods: Keratolysis developed in the donor graft of a Boston Kpro; this was associated with the use of a cosmetic contact lens. A conjunctival flap was used to stabilize the graft. The literature is reviewed for similar cases, and the rationale for the intervention is described and discussed. Results: Reinforcement of the graft with a conjunctival flap resulted in an arrest in stromal melting and stabilization of visual acuity. Conclusions: Low Dk opaque contact lenses may be a risk factor for keratolysis after Kpro. A conjunctival flap technique can provide stabilization of keratolysis with arrest of corneal melting and merits further study.
Original language | English (US) |
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Pages (from-to) | e4-e6 |
Journal | Eye and Contact Lens |
Volume | 39 |
Issue number | 3 |
DOIs | |
State | Published - May 1 2013 |
Keywords
- Conjunctival flap
- Cosmetic contact lens
- Keratolysis
- Keratoprosthesis
- Stromal melt
ASJC Scopus subject areas
- Ophthalmology