Publication
Title
Eckardt keratoprosthesis for tectonic repair of a large corneal perforation
Author
Abstract
Purpose: To report on the use of the Eckardt keratoprosthesis as an emergency temporary tectonic seal for a full-thickness, large decentered corneal perforation. Methods: Case report and review of the literature. Results: A 47-year-old male patient with myotonic dystrophy presented with a large corneal perforation as a complication of chronic ulceration caused by lagophthalmia and recurrent herpetic keratitis. The perforation was triggered by a superinfection with Gram-positive bacteria. In an emergency setting where no donor cornea was available, the Eckardt keratoprosthesis was sutured into the debrided corneal defect as a tectonic measure. A secondary procedure, consisting of open sky cataract extraction combined with penetrating keratoplasty was performed 3 weeks later. During this period, the prosthesis was well tolerated and the anterior chamber stayed well formed. Conclusions: The Eckardt keratoprosthesis allowed us to convert what would have been an emergency a chaud keratoplasty into a well-controlled elective procedure. In our case, the silicone prosthesis was well tolerated during the 3-week period while awaiting final repair with a corneal donor button.
Language
English
Source (journal)
Cornea. - New York, N.Y.
Publication
New York, N.Y. : 2016
ISSN
0277-3740
Volume/pages
35:8(2016), p. 1147-1149
ISI
000379669000028
Full text (Publisher's DOI)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 02.09.2016
Last edited 09.06.2017
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