OP-9 Surgical management of late complications in osteo-odonto-keratoprosthesis (OOKP). The role and challenges of the multidisciplinary team at moorfields eye hospital
PurposeTo present our experience in the surgical management of late complications in Osteo-Odonto-Keratoprosthesis (OOKP) following transfer of this highly specialised Service to Moorfields Eye Hospital.MethodDuring the first year following transfer of the OOKP Service, five surgical interventions i...
Saved in:
Published in | BMJ open ophthalmology Vol. 9; no. Suppl 2; p. A3 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
London
BMJ Publishing Group Ltd
01.04.2024
BMJ Publishing Group LTD BMJ Publishing Group |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | PurposeTo present our experience in the surgical management of late complications in Osteo-Odonto-Keratoprosthesis (OOKP) following transfer of this highly specialised Service to Moorfields Eye Hospital.MethodDuring the first year following transfer of the OOKP Service, five surgical interventions in four patients were performed by a multidisciplinary team treating unique complications. A total of three retinal detachments repairing procedures were performed by endoscopic vitreo-retinal approach. One patient presented severe chronic cystoid macular oedema and required fornix and buccal mucosa dissection to allow periocular injection of triamcinolone. One patient affected by LOGIC syndrome presented with aqueous leak, hypotony and significant vision deterioration in his only OOKP eye and underwent urgent osteo-dental lamina repair.ResultsIn one patient endoscopic surgical repair was not successful in restoring vision because of advanced tractional retinal detachment following endophthalmitis managed elsewhere. Another patient with retinal detachment regained sight in his only eye but required repeat endoscopic VR surgery. One patient with cystoid macular oedema improved his vision in his only eye following periocular injection of triamcinolone. One patient with LOGIC syndrome underwent surgical re-suturing and repairing of his thin osteo-dental lamina which resolved the aqueous leak and this patient recover his previous 6/6 vision.ConclusionsThe OOKP is a highly specialised service and these unique complications require a multidisciplinary team. Moorfields Eye Hospital is now the National Referral Centre for OOKP and the multidisciplinary team is committed to introduce innovations aiming to improve the surgical techniques. |
---|---|
AbstractList | PurposeTo present our experience in the surgical management of late complications in Osteo-Odonto-Keratoprosthesis (OOKP) following transfer of this highly specialised Service to Moorfields Eye Hospital.MethodDuring the first year following transfer of the OOKP Service, five surgical interventions in four patients were performed by a multidisciplinary team treating unique complications. A total of three retinal detachments repairing procedures were performed by endoscopic vitreo-retinal approach. One patient presented severe chronic cystoid macular oedema and required fornix and buccal mucosa dissection to allow periocular injection of triamcinolone. One patient affected by LOGIC syndrome presented with aqueous leak, hypotony and significant vision deterioration in his only OOKP eye and underwent urgent osteo-dental lamina repair.ResultsIn one patient endoscopic surgical repair was not successful in restoring vision because of advanced tractional retinal detachment following endophthalmitis managed elsewhere. Another patient with retinal detachment regained sight in his only eye but required repeat endoscopic VR surgery. One patient with cystoid macular oedema improved his vision in his only eye following periocular injection of triamcinolone. One patient with LOGIC syndrome underwent surgical re-suturing and repairing of his thin osteo-dental lamina which resolved the aqueous leak and this patient recover his previous 6/6 vision.ConclusionsThe OOKP is a highly specialised service and these unique complications require a multidisciplinary team. Moorfields Eye Hospital is now the National Referral Centre for OOKP and the multidisciplinary team is committed to introduce innovations aiming to improve the surgical techniques. |
Author | Henderson, Rob Vasquez-Perez, Alfonso Strouthidis, Nick |
Author_xml | – sequence: 1 givenname: Alfonso surname: Vasquez-Perez fullname: Vasquez-Perez, Alfonso – sequence: 2 givenname: Rob surname: Henderson fullname: Henderson, Rob – sequence: 3 givenname: Nick surname: Strouthidis fullname: Strouthidis, Nick |
BookMark | eNpNkcFu1DAQhiNUJErpE3CxxAUO2dqx14mPsCpQUbSVKGdrYk82Xhw7xN5Db1x4GR6LJ8HLguA0o_GvT7_8Pa3OQgxYVc8ZXTHG5VU_7eM85rFuaCPqN5uPK_WoOm-4amveSHX23_6kukxpTylliknRyPPqx_auVj-_ff90WHbOgCcTBNjhhCGTOBAPGYmJ0-zLY3YxJOICiSljrKONIcf6Cy6Q47yU44jJJfJyu_1w92pF7kckS_RIIFhiRvAeww7TEVuSZDr47KxLxhV4gOWBZISJQCZTjMvg0NtE8AHJGNPsMvhn1eMBfMLLP_Oi-vz2-n7zvr7dvrvZvL6te9YqVXPKkbdd0xvLhGFKdYPpRMupGIREBb0BCrZTwPlaIV0za3mv2hYbITvkkl9UNyeujbDX8-KmUk5HcPr3IS47DUt2xqOWDQquDOsbPgjLJFjAfuhaq5QQgg6F9eLEKv_z9YAp6308LKHU16UQW3dKKlVSV6dUUfkvwKg--tV__eqjX138asV_AQs5oD0 |
ContentType | Journal Article |
Copyright | Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. 2024 Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
Copyright_xml | – notice: Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. – notice: 2024 Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
DBID | 9YT ACMMV K9. DOA |
DOI | 10.1136/bmjophth-2024-BCM.9 |
DatabaseName | BMJ Open Access Journals BMJ Journals:Open Access ProQuest Health & Medical Complete (Alumni) DOAJ Directory of Open Access Journals |
DatabaseTitle | ProQuest Health & Medical Complete (Alumni) |
DatabaseTitleList | ProQuest Health & Medical Complete (Alumni) |
Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: ACMMV name: BMJ Journals:Open Access url: https://journals.bmj.com/ sourceTypes: Publisher |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 2397-3269 |
EndPage | A3 |
ExternalDocumentID | oai_doaj_org_article_62e439c1b23f4d16adaebf87d994440f |
GroupedDBID | 53G 5VS 7X7 8FI 8FJ 9YT ABUWG ACGFS ACMMV ADBBV AFKRA ALIPV ALMA_UNASSIGNED_HOLDINGS AOIJS BCNDV BENPR BTFSW CCPQU FYUFA GROUPED_DOAJ H13 HMCUK HYE M~E O9- OK1 RHF RHI RMJ RPM UKHRP K9. |
ID | FETCH-LOGICAL-b1799-303e3782bcd14c1998fc847304f46e9abca0ad89a3359e051dd3b977e2468e363 |
IEDL.DBID | DOA |
ISSN | 2397-3269 |
IngestDate | Thu Sep 19 03:39:22 EDT 2024 Thu Oct 10 16:14:03 EDT 2024 Wed Aug 21 02:30:31 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | Suppl 2 |
Language | English |
License | This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-b1799-303e3782bcd14c1998fc847304f46e9abca0ad89a3359e051dd3b977e2468e363 |
Notes | Proceedings of the Bowman Club Meeting 2024 |
OpenAccessLink | https://doaj.org/article/62e439c1b23f4d16adaebf87d994440f |
PQID | 3041589699 |
PQPubID | 5161127 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_62e439c1b23f4d16adaebf87d994440f proquest_journals_3041589699 bmj_journals_10_1136_bmjophth_2024_BCM_9 |
PublicationCentury | 2000 |
PublicationDate | 20240401 |
PublicationDateYYYYMMDD | 2024-04-01 |
PublicationDate_xml | – month: 04 year: 2024 text: 20240401 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | London |
PublicationPlace_xml | – name: London |
PublicationTitle | BMJ open ophthalmology |
PublicationTitleAbbrev | BMJ Open Ophth |
PublicationYear | 2024 |
Publisher | BMJ Publishing Group Ltd BMJ Publishing Group LTD BMJ Publishing Group |
Publisher_xml | – name: BMJ Publishing Group Ltd – name: BMJ Publishing Group LTD – name: BMJ Publishing Group |
SSID | ssj0001916426 |
Score | 2.3052723 |
Snippet | PurposeTo present our experience in the surgical management of late complications in Osteo-Odonto-Keratoprosthesis (OOKP) following transfer of this highly... |
SourceID | doaj proquest bmj |
SourceType | Open Website Aggregation Database Publisher |
StartPage | A3 |
SubjectTerms | Edema Endoscopy Multidisciplinary teams Oral Abstract Presentation Retinal detachment |
SummonAdditionalLinks | – databaseName: BMJ Open Access Journals dbid: 9YT link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1Lb9QwELagSIhLVV5i24LmwGE5uCSx442PbUVVFS27Eq1UTpaf2kI3WTXZAzcu_TP9WfwSxt5sH0JIXK04ifLNeD7HM98Q8l47H5ytHA12xCgvWaDS5pzmQpbSZrkudDzRHX8Rx2f85Lw8v1es_vAEP2fio5l_bxazboZ4FpweHI735GPyJClHRYP-dnr3SwWpDgacXlvoH3MxhuBor9D_1wKcosrRFtns6SDsr_B7Th75-gV5Ou4PvF-Sm8mUyt-_rr8ur9ISBfPbdBVoAlwiU4QHWeFwUUOs22go7jfrrqE_ompys4jFHTPfXrQwnEw-Tz_sARoIxNxC0LUDu-6p0sbb4pWQMg3v1-wCmsMcdAfzpll1tm7B__Qw6zuPvCJnR59OD49p316BmigDRzF4eYYEwViXcxtr7YLFWMUyHrjwUhurM-0qqRkrpUfndY4ZpIu-4KLyTLDXZKNuav-GQJzvMuOstIwbJIXa-NygR1ujdanLARniR1e9e7Qq7TyYUGt8VMRHIT5KDshBREYtVmIbKspfpwG0CdV7kxKFRyJlc1OwwF0utNPehGrkpOScZ2FAdte43j2URTWCSgopt___dXbIs2Q7KVdnl2x0V0v_FmlIZ94l4_sDEZXe-w priority: 102 providerName: BMJ Publishing Group Ltd |
Title | OP-9 Surgical management of late complications in osteo-odonto-keratoprosthesis (OOKP). The role and challenges of the multidisciplinary team at moorfields eye hospital |
URI | http://dx.doi.org/10.1136/bmjophth-2024-BCM.9 https://www.proquest.com/docview/3041589699 https://doaj.org/article/62e439c1b23f4d16adaebf87d994440f |
Volume | 9 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZokRCXiqdYWlZz4FAObpO1442P3VWrCpTuClq0nCy_oi2wyapJD9y48Gf4WfwSxk4WFnHgwiWRrLzk-ez5HM98Q8hL7XzpbO5oaceM8oyVVNqU01TITNok1SMddnSLC3F-xV8vssVWqa8QE9bJA3cddyxGHn2mTc2IldylQjvtTZmPnZSc86SMs2-abS2m4t8VZD3oe3qZoZSJY7P6WK-X7RJhMeJ0Mi2OkFTuYGsv1v_XXBwdzNkDstczQzjpvughueOrR-Re0e99PybfZ3Mqf3z99u72Js5WsPoVuQJ1CZ-RNMIfAeJwXUFI4agpLj2rtqafgoByvQ55HkvfXDdwOJu9mb86AsQKhDBD0JUDuymv0oTH4pUQgw6303cBkbEC3cKqrrsi1w34Lx6WfRGSJ-Tq7PRyek77SgvUBEU4in7MM-QKxrqU25B2V1p0WyzhJRdeamN1ol0uNWOZ9DiOnWMGmaMfcZF7JthTslvVlX9GINzvEuOstIwb5Ifa-NTg4LZG60xnA3KIna76kdKouAhhQm3so4J9FNpHyQGZBMuodae7oYISdmxAfKgeH-pf-BiQg41df7-UBWGCXAopn_-Pd-yT-xFVMaDngOy2N7f-BXKV1gzJzngxxqP8cDkkd0-mRfEez5PTi_nbYYTsT_Zp8bA |
link.rule.ids | 315,786,790,870,2115,27955,27956,31752,33777,55702,55703 |
linkProvider | Directory of Open Access Journals |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=OP-9%E2%80%85Surgical+management+of+late+complications+in+osteo-odonto-keratoprosthesis+%28OOKP%29.+The+role+and+challenges+of+the+multidisciplinary+team+at+moorfields+eye+hospital&rft.jtitle=BMJ+open+ophthalmology&rft.au=Nick+Strouthidis&rft.au=Alfonso+Vasquez-Perez&rft.au=Rob+Henderson&rft.date=2024-04-01&rft.pub=BMJ+Publishing+Group&rft.eissn=2397-3269&rft.volume=9&rft.issue=Suppl+2&rft_id=info:doi/10.1136%2Fbmjophth-2024-BCM.9&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_62e439c1b23f4d16adaebf87d994440f |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2397-3269&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2397-3269&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2397-3269&client=summon |