gms | German Medical Science

33rd Annual Meeting of the German Retina Society

German Retina Society in cooperation with 51st Wacker Course

25.06. - 26.06.2021, Munich (Online conference)

A novel temporary keratoprosthesis technique for vitreoretinal surgery

Meeting Abstract

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  • Christos Skevas - Hamburg

Retinologische Gesellschaft. 33. Jahrestagung der Retinologischen Gesellschaft. München (digital), 25.-26.06.2021. Düsseldorf: German Medical Science GMS Publishing House; 2021. Doc21rg43

doi: 10.3205/21rg43, urn:nbn:de:0183-21rg437

Published: June 24, 2021

© 2021 Skevas.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Background: Vitreoretinal surgery in patients with severe corneal opacification can be very challenging. A temporary keratoprosthesis (KP) can be used as an intraoperative bridge between anterior and posterior segment procedures. However, they are only available in certain sizes and may not be immediately at hand when needed.

Purpose: of this work is to introduce a novel method of using a soft contact lens as a temporary keratoprosthesis.

Methods: Three patients with simultaneous corneal and vitreoretinal pathology were treated with a soft contact lens that was used as a temporary keratoprosthesis in order to facilitate vitreoretinal surgery. The soft contact lens was fixated with sutures onto the globe so that no leakage was possible.

Results: Vitreoretinal surgery with excellent fundus view was possible in all cases. The soft contact lens allowed safe central and peripheral vitrectomy. Surgery was successful in all cases.

Conclusion: A soft contact lens properly fixated on the globe can successfully replace a temporary keratoprosthesis. This surgical procedure has several advantages like one size fits all, low costs and easy access to the material