Short-term Interim Results of Clinical Outcomes and Complications After Implantation of Boston Keratoprosthesis in Japanese Patients.


Journal

Cornea
ISSN: 1536-4798
Titre abrégé: Cornea
Pays: United States
ID NLM: 8216186

Informations de publication

Date de publication:
Nov 2020
Historique:
pubmed: 15 9 2020
medline: 18 9 2021
entrez: 14 9 2020
Statut: ppublish

Résumé

Keratoprosthesis is used for corneal transplantation in high-risk patients who require penetrating keratoplasty (PKP). Boston keratoprosthesis (BKpro) is a representative type of keratoprosthesis used worldwide. In Japan, the first BKpro was implanted in an eye after multiple corneal graft failures in 2008, but its use remains limited. A recent patient survey revealed that among the Japanese patients who had previously undergone multiple PKPs, the retention rate of BKpro was significantly higher than that of PKP at 5 years postoperatively (100% vs. 26%; P < 0.01). Patients with implanted BKpro also had better best corrected visual acuity of 20/200 or higher than those with PKP at 5 years postoperatively (80.0% vs. 17.6%; P = 0.03). Regarding the postoperative complications, retroprosthetic membrane formation was observed in 88.9%, infectious keratitis in 33.3%, and glaucoma progression in 11.1% of cases. Another retrospective analysis showed that fungal keratitis occurred in 0.09 patients per year and severely affected visual acuity. Furthermore, because it is difficult to accurately examine intraocular pressure after BKpro implantation, the intraocular pressure of patients with implanted BKpro was prospectively estimated using a transpalpebral tonometer (Diaton). In conclusion, BKpro implantation is effective and safe for Japanese patients, given the reported improvements in visual acuity and low rates of complications.

Identifiants

pubmed: 32925428
doi: 10.1097/ICO.0000000000002453
pii: 00003226-202011001-00005
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

S28-S33

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Références

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Auteurs

Takashi Ono (T)

Department of Ophthalmology, Miyata Eye Hospital, Miyazaki, Japan.
Department of Ophthalmology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and.

Yosai Mori (Y)

Department of Ophthalmology, Miyata Eye Hospital, Miyazaki, Japan.

Ryohei Nejima (R)

Department of Ophthalmology, Miyata Eye Hospital, Miyazaki, Japan.

Takuya Iwasaki (T)

Department of Ophthalmology, Miyata Eye Hospital, Miyazaki, Japan.

Masahiko Fukuda (M)

Department of Ophthalmology, Kindai University Nara Hospital, Nara, Japan.

Keiichiro Minami (K)

Department of Ophthalmology, Miyata Eye Hospital, Miyazaki, Japan.

Kazunori Miyata (K)

Department of Ophthalmology, Miyata Eye Hospital, Miyazaki, Japan.

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