RETINAL DETACHMENT IN EYES WITH BOSTON TYPE 1 KERATOPROSTHESIS: Surgical Techniques and Mid-Term Outcomes.

Autor:	Bonnet C; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California.; Ophthalmology Department, AP-HP, Hôpital Cochin, Université de Paris, Paris, France; and., Chehaibou I; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California.; Ophthalmology Department, AP-HP, Hôpital Lariboisière, Université de Paris, Paris, France., McCannel CA; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California., McCannel TA; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California., Prasad PS; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California., Kreiger AE; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California., Schwartz SD; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California., Aldave A; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California., Hubschman JP; Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, California.
Jazyk:	angličtina
Zdroj:	Retina (Philadelphia, Pa.) [Retina] 2022 May 01; Vol. 42 (5), pp. 957-966.
DOI:	10.1097/IAE.0000000000003389
Abstrakt:	Purpose: To evaluate the mid-term outcomes of pars plana vitrectomy performed for retinal detachment (RD) repair after Boston Type 1 keratoprosthesis (KPro) implantation. Methods: Retrospective review of medical records of KPro implanted at the Stein Eye Institute presenting with RD and treated by pars plana vitrectomy. Functional success was defined as a postoperative visual acuity maintained within 2 Snellen lines of the corrected distance visual acuity measured before the development of the RD (baseline) and anatomical success as an attached retina after the pars plana vitrectomy. Kaplan-Meyer survival analyses were performed. Results: Among the 224 KPro performed, 28 (15.2%) RD were identified; of which, 21 (9.4%) were included. The mean follow-up was 42.5 ± 27.3 months. Vitreoretinal proliferation was present in 18 of 21 eyes (85.7%). Surgical techniques were adapted to the complex anterior segment anatomy of KPro eyes. Anatomical success was achieved in 18 of 21 eyes (85.7%). Functional success occurred in 17 of 21 eyes (81.0%), and 5 of 21 eyes (23.8%) reached 20/400 or better visual acuity at the final follow-up. The KPro was retained in 11 in 21 eyes (52.4%). The retention rate decreased from 94.7% at 1 year to 53.5% at 5 years. The most frequent complications were retroprosthetic membrane (47.6%) and corneal melt (23.8%). Conclusion: Modified pars plana vitrectomy techniques resulted in relatively good mid-term anatomical, functional, and retention rate outcomes, given the severity of RD at presentation and the numerous preoperative comorbidities of KPro eyes.
Databáze:	MEDLINE
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