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Temporary keratoprostheses useful in pole to pole trauma surgery
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MILAN — Temporary keratoprostheses help surgeons to perform pole-to-pole surgery in severely traumatized eyes, managing anterior and posterior segment maneuvers in a single procedure, according to a physician here.
"They make visualization better, provide a panoramic view of the peripheral retina and give more stability to the eye," Cesare Forlini, MD, said at the Euretina congress.
Cesare Forlini
Two types of temporary keratoprostheses are currently in use, he said. The Landers temporary keratoprosthesis (TKP) is made of PMMA or clear silicone rubber. It is available in three diameters and two optical cylinder sizes, one that is 5 mm for aphakic eyes and one that is 1 mm for phakic or pseudophakic eyes. The Eckardt TKP is made of clear silicone rubber with a hydrophilic surface and comes in two diameters.
"Pole-to pole surgery with the aid of TKPs aims at performing multiple maneuvers simultaneously, achieving the best final result in the shortest possible time. The number of interventions, the stress for the patient, the health care costs, and the risk of secondary complications such as synechiae, [proliferative vitreoretinopathy] and glaucoma are greatly reduced," Forlini said.
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Disclosure: Forlini has no relevant financial disclosures.