Temporary Kerato-Prosthesis to Resolve Traumatic Loss of a Healed Corneal Button.

Corneal button loss Temporary kerato-prosthesis Trauma

Journal

Case reports in ophthalmology
ISSN: 1663-2699
Titre abrégé: Case Rep Ophthalmol
Pays: Switzerland
ID NLM: 101532006

Informations de publication

Date de publication:
Historique:
received: 02 04 2020
accepted: 30 06 2020
entrez: 31 5 2021
pubmed: 1 6 2021
medline: 1 6 2021
Statut: epublish

Résumé

The aim of this study is to report a rare case of traumatic complete loss of a donor corneal button successfully resolved by a 24-h implantation of a temporary kerato-prosthesis. A healthy 30-year-old man with a history of prior penetrating keratoplasty (PKP) presented with an open globe following accidental contusive trauma with a ball, while he was playing football. At slit-lamp evaluation, complete dehiscence of the wound at the graft-host junction and complete corneal button loss was evident. The patient was immediately taken to the operating room, but a donor cornea was not available; therefore, a vitreo-retinal temporary kerato-prosthesis was implanted to close the eyeball until a new donor cornea was available. In case of complete dehiscence of the donor-host junction after PKP with corneal button loss, it is possible to use a temporary kerato-prosthesis to stabilize the eye and contain the intraocular structures. We recommend the availability of temporary vitreo-retinal kerato-prosthesis in the operating theatres of Corneal Surgical Units.

Identifiants

pubmed: 34054466
doi: 10.1159/000509847
pii: cop-0012-0254
pmc: PMC8138197
doi:

Types de publication

Case Reports

Langues

eng

Pagination

254-258

Informations de copyright

Copyright © 2021 by S. Karger AG, Basel.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to declare.

Références

Cornea. 1999 Sep;18(5):553-8
pubmed: 10487429
J Ophthalmic Vis Res. 2012 Jul;7(3):214-8
pubmed: 23264863
J Ophthalmol. 2018 Jul 8;2018:1435389
pubmed: 30116625
Int J Ophthalmol. 2013 Jun 18;6(3):375-80
pubmed: 23826536
Ulus Travma Acil Cerrahi Derg. 2016 Sep;22(5):437-440
pubmed: 27849319
Cornea. 2016 Aug;35(8):1147-9
pubmed: 27191673
Arch Ophthalmol. 1968 May;79(5):595-602
pubmed: 5689548
Ulus Travma Acil Cerrahi Derg. 2014 May;20(3):181-8
pubmed: 24936839
Arch Ophthalmol. 1998 Oct;116(10):1282-6
pubmed: 9790624
Ann Ophthalmol. 1983 Aug;15(8):773-7
pubmed: 6362522
Br J Ophthalmol. 1982 Mar;66(3):174-8
pubmed: 7039665
Arch Ophthalmol. 2005 Jun;123(6):853-6
pubmed: 15955989
Cornea. 2009 Dec;28(10):1097-9
pubmed: 19730092

Auteurs

Alessandra Balestrazzi (A)

Ophthalmic Hospital, Rome, Italy.

Alessandro Di Maggio (A)

Ophthalmology Unit, Misericordia Hospital, Usl Toscana Sud Est, Grosseto, Italy.

Paolo Michieletto (P)

Ophthalmic Hospital, Rome, Italy.

Gianluca Martone (G)

Ophthalmology Unit, Misericordia Hospital, Usl Toscana Sud Est, Grosseto, Italy.

Angelo Balestrazzi (A)

Ophthalmology Unit, Misericordia Hospital, Usl Toscana Sud Est, Grosseto, Italy.

Classifications MeSH