Title
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Eckardt keratoprosthesis for tectonic repair of a large corneal perforation
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Author
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Abstract
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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. |
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Language
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English
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Source (journal)
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Cornea. - New York, N.Y.
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Publication
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New York, N.Y.
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2016
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ISSN
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0277-3740
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DOI
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10.1097/ICO.0000000000000887
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Volume/pages
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35
:8
(2016)
, p. 1147-1149
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ISI
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000379669000028
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Pubmed ID
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27191673
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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