Temporary keratoprosthesis for combined penetrating keratoplasty, pars plana vitrectomy, and repair of retinal detachment

The Landers-Foulks temporary keratoprosthesis was used to combine penetrating keratoplasty, pars plana vitrectomy, and scleral buckling in the management of 13 eyes with opaque cornea and posterior segment abnormalities. In seven cases, trauma precipitated the ocular disease. Complications of catara...

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Bibliographic Details
Published inOphthalmology (Rochester, Minn.) Vol. 95; no. 7; p. 897
Main Authors Gelender, H, Vaiser, A, Snyder, W B, Fuller, D G, Hutton, W L
Format Journal Article
LanguageEnglish
Published United States 01.07.1988
Subjects
Adult
Aged
Aged, 80 and over
Cataract Extraction - adverse effects
Corneal Transplantation
Eye Injuries - complications
Humans
Middle Aged
Postoperative Complications
Prostheses and Implants
Retinal Detachment - surgery
Time Factors
Vitrectomy - methods
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Summary:The Landers-Foulks temporary keratoprosthesis was used to combine penetrating keratoplasty, pars plana vitrectomy, and scleral buckling in the management of 13 eyes with opaque cornea and posterior segment abnormalities. In seven cases, trauma precipitated the ocular disease. Complications of cataract surgery resulted in anterior and posterior segment pathology in six cases. The corneal graft was initially clear in all cases. However, corneal edema complicated phthisis bulbi in four cases and followed homograft reaction in two cases. Eight eyes with retinal detachment (RD) preoperatively were successfully reattached. In five eyes, the retina redetached as these eyes became phthisical. Visual function improved in six cases. In general, eyes with a history of trauma had a much poorer outcome than did eyes with anterior and posterior segment problems related to previous cataract surgery.
ISSN:0161-6420
1549-4713
DOI:10.1016/S0161-6420(88)33089-7