Temporary keratoprosthesis for surgical management of complicated combined anterior and posterior segment injuries to the eye: combat-versus noncombat-injury cases

• Published in: Ophthalmic surgery Vol. 25; no. 7; pp. 452 - 457
• Main Authors: MASOUD SOHEILIAN, AHMADIEH, H, SAJJADI, H, AZARMINA, M, MIRATASHI, A. M, PEYMAN, G. A
• Format: Journal Article
• Language: English
• Published: Thorofare, NJ Slack 01.07.1994; SLACK INCORPORATED
• Subjects: Adolescent; Adult; Anterior Eye Segment - injuries; Anterior Eye Segment - surgery; Biocompatible Materials; Biological and medical sciences; Child; Child, Preschool; Cornea - surgery; Eye Foreign Bodies - etiology; Eye Foreign Bodies - surgery; Eye Injuries, Penetrating - etiology; Eye Injuries, Penetrating - surgery; Female; Humans; Male; Medical sciences; Middle Aged; Prognosis; Prostheses and Implants; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Warfare; Human; Cornea; Prosthesis; Injury; Treatment efficiency; Posterior segment; War; Trauma; Anterior segment; Eye disease; Temporary; Keratoplasty; Surgery; Technique; Graft surgical
• ISSN: 0022-023X; 2325-8160; 2325-8179

We used a Landers-Foulks temporary keratoprosthesis lens to combine penetrating keratoplasty with vitreoretinal surgery in 21 eyes of 21 patients. Ten of these patients were victims of combat injuries; 11 had traumatic injuries unrelated to war. After a mean follow up of 11 months, satisfactory overall results, ie, an attached retina and a clear cornea, were obtained in nine eyes (42.8%). In two, the retina was attached but the corneal graft was rejected. Eight eyes achieved a visual acuity of 5/200 or better. The visual prognosis as well as the rate of retinal reattachment for the combat-injured eyes were poorer than those for the traumatic noncombat-injured eyes. At the last follow-up examination, 60% of the combat-injured eyes were considered visually lost, as compared with 36.3% of the noncombat-injured eyes.