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Case Reports
. 2023 Nov 1;17(6):785-787.
doi: 10.1097/ICB.0000000000001299.

TEMPORARY KERATOPROSTHESIS COMBINED WITH VITRECTOMY FOR SEVERE GLOBE INJURY

Sławomir Cisiecki  1   2 , Karolina Bonińska  1   2 , Maciej Bednarski  1   2
Affiliations
Case Reports

TEMPORARY KERATOPROSTHESIS COMBINED WITH VITRECTOMY FOR SEVERE GLOBE INJURY

Sławomir Cisiecki et al. Retin Cases Brief Rep. .

Abstract

Purpose: To describe a case of a 44-year-old man with ocular trauma after a mine explosion. From the moment of the injury, the patient reported significant visual impairment (no perception of light in the right eye and a perception of light without localization in the left eye). The patient was diagnosed with a double-sided penetrating corneal scleral wound and traumatic cataract, retinal detachment, and intraocular foreign bodies after a battlefield mine explosion.

Methods: The three-stage procedure, consisting of using soft contact lens as temporary keratoprosthesis, vitrectomy, and penetrating keratoplasty, was performed in the damaged eye.

Results: A soft contact lens allowed for excellent visualization of the posterior segment during vitrectomy. At the 1-month follow-up, the eye that was operated on could sense light. The corneal transplant remained translucent, and the retina was attached.

Conclusion: The described method, when performed by an experienced surgeon, may aid in simultaneously treating coexisting corneal opacification and vitreoretinal disorders.

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References

    1. Skevas C, Bigdon E, Steinhorst A, et al. A novel temporary keratoprosthesis technique for vitreoretinal surgery. Int J Ophthalmol 2021;14:1791–1795.
    1. Morris R, Kuhn F, Witherspoon CD. Management of the recently injured eye with no light perception vision. In: Alfaro V, Liggett P, eds. Vitrectomy in the Management of the Injured Globe. Philadelphia: Lippicott Raven; 1998:113–125.
    1. Roter S, Szurman P, Hermes S, et al. Outcome of combined penetrating keratoplasty with vitreoretinal surgery for management of severe ocular injuries. Retina 2003;23:48–56.

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