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Journal of Ophthalmology
Volume 2015, Article ID 163675, 6 pages
http://dx.doi.org/10.1155/2015/163675
Research Article

Wide-Field Landers Temporary Keratoprosthesis in Severe Ocular Trauma: Functional and Anatomical Results after One Year

1Department of General Ophthalmology, Medical University of Lublin, Lublin, Poland
2Department of Ophthalmology, Santa Maria Delle Croci Hospital, Ravenna, Italy
3Institute of Ophthalmology, University of Modena, Modena, Italy
4Human Anatomy Department, Medical University of Lublin, Lublin, Poland
5Department of Glaucoma Diagnostics and Microsurgery, Medical University of Lublin, Lublin, Poland
6Department of Ophthalmology, University Eye Hospital, Rostock, Germany
7Department of Experimental Pharmacology, Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland

Received 28 August 2015; Accepted 18 October 2015

Academic Editor: Chul Choi

Copyright © 2015 Katarzyna Nowomiejska et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To evaluate longitudinal functional and anatomical results after combined pars plana vitrectomy (PPV) and penetrating keratoplasty (PKP) using a wide-field Landers intraoperative temporary keratoprosthesis (TKP) in patients with vitreoretinal pathology and corneal opacity due to severe ocular trauma. Material and Methods. Medical records of 12 patients who had undergone PPV/PKP/KP due to severe eye trauma were analyzed. Functional (best-corrected visual acuity) and anatomic outcomes (clarity of the corneal graft, retinal attachment, and intraocular pressure) were assessed during the follow-up (mean 16 months). Results. Final visual acuities varied from NLP to CF to 2 m. Visual acuity improved in 7 cases, was unchanged in 4 eyes, and worsened in 1 eye. The corneal graft was transparent during the follow-up in 3 cases and graft failure was observed in 9 eyes. Silicone oil was used as a tamponade in all cases and retina was reattached in 92% of cases. Conclusions. Combined PPV and PKP with the use of wide-field Landers TKP allowed for surgical intervention in patients with vitreoretinal pathology coexisting with corneal wound. Although retina was attached in most of the cases, corneal graft survived only in one-fourth of patients and final visual acuities were poor.