Corneal graft dellen in a patient implanted with a Boston keratoprosthesis type 1

被引:0
作者
Scotto, Riccardo [1 ]
Vagge, Aldo [1 ]
Traverso, Carlo E. [1 ]
机构
[1] Univ Genoa, Clin Oculist, DiNOGMI, Viale Benedetto 15,5, I-16132 Genoa, Italy
关键词
Boston type 1 keratoprosthesis; Bandage contact lens; Corneal dellen; Alkali chemical injury; MATRIX METALLOPROTEINASES; COMPLICATIONS; MANAGEMENT; EPITHELIUM; CELLS;
D O I
10.1007/s10792-016-0227-2
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
The purpose of this study was to report a case of corneal dellen in a patient implanted with a Boston type 1 keratoprosthesis (KPro), which rapidly appeared after the loss of the large-diameter soft contact lens. This study is an observational case report of a 56-year-old man who underwent KPro implantation in his right eye in November 2010. In March 2014 during a follow-up visit, two areas of corneal dellen were observed. The patient had lost his bandage contact lens. With the application of a new soft contact lens, the thinned areas recovered completely within 5 days. After keratoprosthesis implantation, it is necessary to maintain uninterrupted wear of a bandage contact lens as it allows for adequate ocular surface hydration and prevents consequent complications. This case report highlights the need to provide proper instructions to such patients, in order to minimize the risk.
引用
收藏
页码:263 / 266
页数:4
相关论文
共 17 条
[1]   Infectious Keratitis After Boston Type 1 Keratoprosthesis Implantation [J].
Chan, Clara C. ;
Holland, Edward J. .
CORNEA, 2012, 31 (10) :1128-1134
[2]   Desiccating stress stimulates expression of matrix metalloproteinases by the corneal epithelium [J].
Corrales, Rosa M. ;
Stern, Michael E. ;
De Paiva, Cintia S. ;
Welch, Jonathan ;
Li, De-Quan ;
Pflugfelder, Stephen C. .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2006, 47 (08) :3293-3302
[3]   Introduction to the use of the Boston keratoprosthesis [J].
Dohlman, Claes H. ;
Harissi-Dagher, Mona ;
Khan, Bilal F. ;
Sippel, Kimberly ;
Aquavella, James V. ;
Graney, John M. .
EXPERT REVIEW OF OPHTHALMOLOGY, 2006, 1 (01) :41-48
[4]  
Dohlman Claes H., 2002, CLAO Journal, V28, P72
[5]   Longer-Term Vision Outcomes and Complications with the Boston Type 1 Keratoprosthesis at the University of California, Davis [J].
Greiner, Mark A. ;
Li, Jennifer Y. ;
Mannis, Mark J. .
OPHTHALMOLOGY, 2011, 118 (08) :1543-1550
[6]   Importance of nutrition to corneal grafts when used as a carrier of the Boston keratoprosthesis [J].
Harissi-Dagher, Mona ;
Khan, Bilal F. ;
Schaumberg, Debra A. ;
Dohlman, Claes H. .
CORNEA, 2007, 26 (05) :564-568
[7]  
Harissi-Dagher Mona, 2008, Int Ophthalmol Clin, V48, P43, DOI 10.1097/IIO.0b013e318169511f
[8]   Keratoprosthesis: an update [J].
Khan, Bilal ;
Dudenhoefer, Eric J. ;
Dohlman, Claes H. .
CURRENT OPINION IN OPHTHALMOLOGY, 2001, 12 (04) :282-287
[9]   Stimulation of matrix metalloproteinases by hyperosmolarity via a JNK pathway in human corneal epithelial cells [J].
Li, DQ ;
Chen, Z ;
Song, XJ ;
Luo, LH ;
Pflugfelder, SC .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2004, 45 (12) :4302-4311
[10]   Human matrix metalloprotease activation by insults of bacterial infection involving proteases and free radicals [J].
Maeda, H ;
Okamoto, T ;
Akaike, T .
BIOLOGICAL CHEMISTRY, 1998, 379 (02) :193-200