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VIDEO: Boston keratoprosthesis in severe external disease

Issue: April 2016

ByA. John Kanellopoulos, MD

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The Boston keratoprosthesis technique may be a good option in the surgical management of severe external disease. In this particular case with severe pemphigoid, almost ankyloblepharon, cornea scarring and dense cataract, we performed a combined symblepharon lysis, host cornea trephination at 9 mm diameter, an open-sky extracapsular cataract extraction, in-the-bag IOL implantation and implantation of a pre-prepared Boston KPro type I, attached to a 9.5-mm vehicle donor cornea. The video describes the procedure step by step.

• For more information:
• A. John Kanellopoulos, MD, is an OSN Europe Edition Board Member. He can be reached at Laservision Institute, Tsocha Street 17, Athens 11521, Greece; email: ajkmd@mac.com.

Disclosure: Kanellopoulos reports no relevant financial disclosures.